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Individual

ASHLEY I HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1595 E MAIN ST, PRATTVILLE, AL 36066-5509
(334) 361-7306
(334) 361-8966
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-105950
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
213332
AL
01
512-05543
BCBS OF ALABAMA
AL
01
6017931
AETNA
AL
01
A00133K874
MEDICARE
AL
01
Z51091
VIVA HEALTH
AL
Enumeration date
04/25/2017
Last updated
01/05/2023
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