Individual
LEAH ANNE HALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
160 BANTRY DR, VACAVILLE, CA 95688-8503
(801) 636-2464
Mailing address
160 BANTRY DR, VACAVILLE, CA 95688-8503
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95038244
CA
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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