Individual
MRS. RUTH A HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP-AC, MHA
Contact information
Practice address
2300 MEDORA ST, LAKE CHARLES, LA 70601-1204
(337) 437-3977
Mailing address
5864 HIDDEN MEADOWS DR, ORANGE, TX 77632-3635
(409) 746-9201
(409) 746-9204
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
453410
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
RN112569 AP04749
LA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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