Provider Demographics
NPI:1316394018
Name:HALL, BARBARA SR (LPN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:HALL
Suffix:SR
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1939 GREEN RD APT 517
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44121-1145
Mailing Address - Country:US
Mailing Address - Phone:216-417-5983
Mailing Address - Fax:
Practice Address - Street 1:1939 GREEN RD APT 517
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44121-1145
Practice Address - Country:US
Practice Address - Phone:216-417-5983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.016094-MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse