Individual
EVELYN HALL-HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPA
Contact information
Practice address
40 LIBERTY ST, PETERSBURG, VA 23803-5021
(804) 862-2878
Mailing address
P.O. BOX 35456, RICHMOND, VA 23235
(804) 862-2878
(804) 862-2879
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024131004
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024131004
STATE ID
VA
01
—
00X544A02
INDIVIDUAL NUMBER
VA
Enumeration date
09/28/2006
Last updated
10/18/2010
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