Individual
MRS. THERESA GALE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2490 S WOODWORTH LOOP STE 250, PALMER, AK 99645-7407
(907) 861-6700
Mailing address
2490 S WOODWORTH LOOP STE 250, PALMER, AK 99645-7407
(907) 861-6700
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
132563
AK
363LG0600X
Gerontology Nurse Practitioner
3010502
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1685772
—
AK
Enumeration date
10/26/2016
Last updated
01/16/2025
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