Individual
KRISTIN BROOKE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1055 N 500 W, BUILDING A, PROVO, UT 84604
(801) 812-5077
(801) 812-5034
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7748749-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
12/29/2021
Last updated
02/17/2022
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