Individual
SARAH MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12450 LA GRANGE RD, LOUISVILLE, KY 40245-1901
(502) 638-4783
Mailing address
12450 LA GRANGE RD, LOUISVILLE, KY 40245-1901
(502) 638-4783
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009169
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194116038
—
KY
01
—
3009169
LICENSE
KY
Enumeration date
02/13/2015
Last updated
08/15/2024
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