Individual
BONNIECIEL M HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
25097 NW BATES RD, ALTHA, FL 32421-2637
(850) 209-3588
Mailing address
25097 NW BATES RD, ALTHA, FL 32421-2637
(850) 209-3588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11022029
FL
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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