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Individual

VIRGINIA DENISE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1201 S VICTORY BLVD STE 206, BURBANK, CA 91502-2793
(747) 271-2701
(310) 693-5384
Mailing address
6552 AGNES AVE # 4319, NORTH HOLLYWOOD, CA 91606-1517
(419) 834-3441

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95010976
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95010976
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0086457
OH
Enumeration date
06/18/2013
Last updated
11/25/2024
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