Individual
BETHANY S HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1952
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3006569
KY
363L00000X
Nurse Practitioner
Primary
4704290976
MI
363LF0000X
Family Nurse Practitioner
3006569
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201000330
—
IN
05
—
7100132120
—
KY
Enumeration date
06/14/2010
Last updated
02/03/2022
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