Individual
BETTY A GWINN-HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
311 S 15TH ST STE 102, COSHOCTON, OH 43812-1874
(740) 622-7144
(740) 622-7166
Mailing address
1200 S 16TH ST, COSHOCTON, OH 43812-2754
(740) 622-6154
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP-05751
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
STU1-0427-9584
NCC PROVIDER LICENSE
OH
Enumeration date
01/09/2007
Last updated
11/15/2016
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