Individual
CHARISSA L HALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4003 KRESGE WAY STE 300, LOUISVILLE, KY 40207-4652
(502) 897-5139
(502) 896-6218
Mailing address
4003 KRESGE WAY STE 300, LOUISVILLE, KY 40207-4652
(502) 897-5139
(502) 896-6218
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006581
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101143520
—
KY
Enumeration date
10/28/2010
Last updated
08/19/2019
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