Individual
GRETCHEN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3402 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6214
(813) 875-3950
(813) 872-2741
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP1093302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110615500
—
FL
Enumeration date
09/21/2017
Last updated
10/19/2022
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