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Individual

ANDREA HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN,RN, PMHNP-BC

Contact information

Practice address
3567 RESERVE COMMONS DR, MEDINA, OH 44256-5323
(330) 536-3746
Mailing address
3567 MEDINA RD. #181, MEDINA, OH 44256-5323
(330) 536-3746

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
421836
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
00036960
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0029083
OH

Other

Enumeration date
06/10/2021
Last updated
06/16/2021
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