Individual
TIMOTHY ALLEN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
13861 OLIO RD, FISHERS, IN 46037-3487
(317) 338-7136
Mailing address
13861 OLIO RD, FISHERS, IN 46037-3487
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71008180A
IN
Other
Enumeration date
07/30/2018
Last updated
03/26/2024
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