Individual
NANETTE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4830 S HWY 260, LAKESIDE, AZ 85929
(928) 538-8777
Mailing address
PO BOX 111, SHOW LOW, AZ 85902-0111
(928) 242-4659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN168572
AZ
363LF0000X
Family Nurse Practitioner
Primary
275225
AZ
Other
Enumeration date
03/14/2022
Last updated
07/22/2022
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