Individual
LINDA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 N 173RD AVE APT 220, GOODYEAR, AZ 85338-1842
(585) 957-0598
Mailing address
195 N 173RD AVE APT 220, GOODYEAR, AZ 85338-1842
(585) 957-0598
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
LP053579
AZ
164W00000X
Licensed Practical Nurse
Primary
LP053579
AZ
171400000X
Health & Wellness Coach
LP053579
AZ
172V00000X
Community Health Worker
LP053579
AZ
174H00000X
Health Educator
LP053579
AZ
251C00000X
Developmentally Disabled Services Day Training Agency
LP053579
AZ
251J00000X
Nursing Care Agency
LP053579
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP053579
NURSE LICENSURE
AZ
Enumeration date
07/07/2026
Last updated
07/07/2026
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