1265835524 NPI number — MONICA HALL DNP

Table of content: MONICA HALL DNP (NPI 1265835524)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265835524 NPI number — MONICA HALL DNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HALL
Provider First Name:
MONICA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265835524
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/30/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PSC 482 BOX 2566
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FPO
Provider Business Mailing Address State Name:
AP
Provider Business Mailing Address Postal Code:
96362-0026
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-324-0958
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
904-0103 CHATAN, NAKAGAMI DISTRICT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OKINAWA
Provider Business Practice Location Address State Name:
JAPAN
Provider Business Practice Location Address Postal Code:
96263
Provider Business Practice Location Address Country Code:
JP
Provider Business Practice Location Address Telephone Number:
98-971-9355
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/01/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X , with the licence number:  195089 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: RN195089 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)