Provider Demographics
NPI:1093908352
Name:BARRON-HALL, AMANDA MARLENE (CRNP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:MARLENE
Last Name:BARRON-HALL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:MARLENE
Other - Last Name:BARRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:841 HOSPITAL ROAD
Mailing Address - Street 2:SUITE 3500
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701
Mailing Address - Country:US
Mailing Address - Phone:724-349-8636
Mailing Address - Fax:724-465-4087
Practice Address - Street 1:841 HOSPITAL ROAD
Practice Address - Street 2:SUITE 3500
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701
Practice Address - Country:US
Practice Address - Phone:724-349-8636
Practice Address - Fax:724-465-4087
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009503363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA121310V2UMedicare PIN