Individual
NICOLE D HALLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1118 ROSS CLARK CIR STE 704, DOTHAN, AL 36301-3030
(334) 699-6396
Mailing address
1118 ROSS CLARK CIR STE 704, DOTHAN, AL 36301-3030
(334) 699-6396
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-172759
AL
Other
Enumeration date
05/24/2019
Last updated
06/12/2019
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