Individual
MRS. CARRIE R. LEE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHCNP, FNP
Contact information
Practice address
226 MEDICAL PLAZA LN, WHITESBURG, KY 41858-7425
(606) 633-4871
(606) 633-1874
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4871
(606) 633-1874
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
3004904
KY
363LF0000X
Family Nurse Practitioner
Primary
3004904
KY
363LW0102X
Women's Health Nurse Practitioner
3004904
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78017944
—
KY
Enumeration date
07/11/2006
Last updated
10/15/2018
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