Provider Demographics
NPI:1558854729
Name:HALL, CHRISTINA (RN BSN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 PHYLLIS CT
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-3323
Mailing Address - Country:US
Mailing Address - Phone:903-348-2888
Mailing Address - Fax:
Practice Address - Street 1:136 PHYLLIS CT
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-3323
Practice Address - Country:US
Practice Address - Phone:903-348-2888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX945124163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse