Individual
MRS. CARRIE SUE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C, IBCLC
Contact information
Practice address
2786 FAIRVIEW AVE N, ROSEVILLE, MN 55113-1306
(763) 412-1993
(888) 972-8341
Mailing address
2786 FAIRVIEW AVE N, ROSEVILLE, MN 55113-1306
(763) 412-1993
(888) 972-8341
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L68365
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61579680
WA
Other
Enumeration date
10/25/2015
Last updated
05/13/2026
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