Individual
BRENTON M HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
27 ST LAWRENCE DR STE 103, TIFFIN, OH 44883-8313
(419) 448-4622
(419) 448-4808
Mailing address
27 ST LAWRENCE DR STE 103, TIFFIN, OH 44883-8313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0028349
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028349
OH
Other
Enumeration date
02/04/2021
Last updated
10/31/2024
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