Individual
MAGENTA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1010 CAPITAL CIRCLE SW, TALLAHASSEE, FL 32304
(850) 755-6468
Mailing address
8759 GREENRIDGE LN, TALLAHASSEE, FL 32312-3696
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9325507
FL
Other
Enumeration date
01/24/2018
Last updated
11/13/2023
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