Individual
MAKENZIE ANNE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-AG
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 691-3777
Mailing address
522 S WALNUT ST, BRAZIL, IN 47834-3151
(812) 691-3777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71017021A
IN
Other
Enumeration date
02/07/2025
Last updated
10/08/2025
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