Individual
DIANE P HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PCNS
Contact information
Practice address
24 SALT POND RD, H-3, WAKEFIELD, RI 02879-4314
(401) 789-4480
Mailing address
115 ROCKY BROOK WAY, WAKEFIELD, RI 02879-8121
(401) 788-0311
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
PPNS00005
RI
Other
Enumeration date
12/23/2006
Last updated
07/08/2007
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