Individual
ALISA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 TALCOTTVILLE RD, VERNON, CT 06066-4617
(860) 645-1100
Mailing address
2 OPTUM CIR, EDEN PRAIRIE, MN 55344-2956
(612) 840-7887
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12594
MN
Other
Enumeration date
06/27/2023
Last updated
08/14/2025
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