Provider Demographics
NPI:1265835524
Name:HALL, MONICA (DNP)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 482 BOX 2566
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96362-0026
Mailing Address - Country:US
Mailing Address - Phone:757-324-0958
Mailing Address - Fax:
Practice Address - Street 1:904-0103 CHATAN, NAKAGAMI DISTRICT
Practice Address - Street 2:
Practice Address - City:OKINAWA
Practice Address - State:JAPAN
Practice Address - Zip Code:96263
Practice Address - Country:JP
Practice Address - Phone:098-971-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA195089390200000X
GARN195089363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program