Provider Demographics
NPI:1124587100
Name:N-HALL MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:N-HALL MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:EVERSLEY-HALL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-C
Authorized Official - Phone:954-532-3084
Mailing Address - Street 1:7661 BELMONTE BLVD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-7897
Mailing Address - Country:US
Mailing Address - Phone:954-532-3081
Mailing Address - Fax:954-532-3064
Practice Address - Street 1:6051 W COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33319-3037
Practice Address - Country:US
Practice Address - Phone:954-591-0399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty