Individual
MS. VIRGINIA GAMBLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3000 NEW BERN AVE, NEONATOLOGY DEPT., RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
300298
NC
363LN0000X
Neonatal Nurse Practitioner
300298
NC
363LP0200X
Pediatric Nurse Practitioner
152006
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
300298
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699885020
—
NC
05
—
7000965
—
NC
Enumeration date
08/30/2006
Last updated
02/20/2023
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