Individual
IRENE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 HIGH ST, MEDFORD, MA 02155-3825
(866) 389-2727
Mailing address
85 HIGH ST, MEDFORD, MA 02155-3825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001307912
VA
163W00000X
Registered Nurse
RN2374428
MA
363L00000X
Nurse Practitioner
RN2374428
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2374428
MA
Other
Enumeration date
06/26/2025
Last updated
10/02/2025
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