Individual
ANGELIQUE R. VON HALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
391 TAYLOR BLVD STE 100, PLEASANT HILL, CA 94523-2289
(925) 608-6550
Mailing address
5800 3RD ST UNIT 1301, SAN FRANCISCO, CA 94124-3151
(415) 987-3769
(415) 413-2340
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN 641542
CA
363L00000X
Nurse Practitioner
18389
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
18389
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11416
SFGH INTERNAL USE ONLY
—
Enumeration date
04/16/2007
Last updated
03/17/2023
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