Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | NPP37427 | RI |
NPI | 1053590224 |
---|---|
Provider Name | Ms. Christine Marie Hall |
First Address | North Kingstown, RI 02852-4049 |
Second Address | North Kingstown, RI 02852-4049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2007 |
Last Update Date | 04/08/2014 |