Individual
ELIZABETH ANN O'HALLORAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 539-4099
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 539-4099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-064070
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4075250
BCBS
TN
01
—
51520432
BCBS
AL
01
—
P00021515
RAILROAD MEDICARE
—
Enumeration date
04/14/2006
Last updated
07/08/2007
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