Individual
MS. MARTA J HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
179 MAIN ST, SUITE 412, WATERVILLE, ME 04901-6672
(207) 861-4121
(207) 861-4120
Mailing address
179 MAIN ST STE 204, WATERVILLE, ME 04901-6672
(207) 616-0492
(207) 616-0553
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2006009318
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP81799
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432351599
—
ME
Enumeration date
12/21/2006
Last updated
10/22/2020
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