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Contact Information

ANDREA HALL, MSN,RN, PMHNP-BC
3567 RESERVE COMMONS DR
MEDINA, OH44256-5323
 Phone: 330-536-3746
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Adult

163WP0809X
Indicates primary specialty

NPI Profile & details for ANDREA HALL · (Female)

NPI Number 1356918908
Status Active
Credentials MSN,RN, PMHNP-BC
Entity Individual
Enumeration date 06/10/2021
Last updated 06/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 00036960
  • OH License # 0029083
  • OH License # 421836
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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