Individual
RENA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
18 MORLEY ST, NEEDHAM, MA 02492-3618
(617) 930-6504
Mailing address
18 MORLEY ST, NEEDHAM, MA 02492-3618
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN265758
MA
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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