Individual
MS. THERESA J HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, CRNP
Contact information
Practice address
975 SOLOMONS ROAD NORTH, PRINCE FREDERICK, MD 20678
(410) 535-5400
Mailing address
30185 CURTISS RD, MECHANICSVILLE, MD 20659-3605
(301) 884-5340
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R053634
MD
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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