Individual
DONNA M HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12255 DE PAUL DR STE 700, BRIDGETON, MO 63044
(314) 739-4166
(314) 739-2485
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 851-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012035263
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012035263
MO LICENSE
—
Enumeration date
02/13/2013
Last updated
05/24/2019
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