Individual
SHANA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CARN
Contact information
Practice address
1784 LACROSSE AVE, SAINT PAUL, MN 55119-4808
(651) 645-9424
Mailing address
1978 PRINCETON AVE, SAINT PAUL, MN 55105-1525
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1994445
MN
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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