Individual
CAROL FERN HALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1625 MEDICAL CENTER PT STE 190, COLORADO SPRINGS, CO 80907-8721
(719) 955-6000
(719) 955-9595
Mailing address
5442 CAMPGLENN, COLORADO SPRINGS, CO 80906
(719) 201-8166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10309
CO
Other
Enumeration date
05/04/2006
Last updated
08/07/2019
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