Individual
MICHELLE MARIE HALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-3550
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.021197
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.021197
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0238136
—
OH
Enumeration date
07/14/2017
Last updated
01/04/2019
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