Individual
ELIZABETH G HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
519 HICKORY DR, MANAKIN SABOT, VA 23103-3209
(970) 573-8897
Mailing address
519 HICKORY DR, MANAKIN SABOT, VA 23103-3209
(970) 573-8897
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1628219
CO
363L00000X
Nurse Practitioner
Primary
0024183156
VA
Other
Enumeration date
11/17/2015
Last updated
11/17/2022
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