Individual
MR. TIMOTHY JAMES HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
7533 MAIN ST APT A, SYKESVILLE, MD 21784-5312
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R225962
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
R225962
MD
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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