Organization
HALL FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANETTE HALL FNP (OWNER)
(928) 537-8777
Entity
Organization
Contact information
Practice address
4830 HIGHWAY 260, LAKESIDE, AZ 85929-5845
(928) 537-8777
Mailing address
4830 HIGHWAY 260, LAKESIDE, AZ 85929-5845
(928) 537-8777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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