Individual
ELIZABETH PAGE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
190 HARTE HAVEN PLZ, MASSENA, NY 13662-2618
(315) 957-3641
Mailing address
190 HARTE HAVEN PLZ, MASSENA, NY 13662-2618
(315) 957-3641
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
359968
NY
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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