Provider Demographics
NPI:1760880264
Name:HALL, ANNABEL TABIANAN (NP-C)
Entity Type:Individual
Prefix:MS
First Name:ANNABEL
Middle Name:TABIANAN
Last Name:HALL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E. MORNINGSIDE ST.
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-6433
Mailing Address - Country:US
Mailing Address - Phone:800-301-6198
Mailing Address - Fax:
Practice Address - Street 1:101 E. MORNINGSIDE ST.
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-6433
Practice Address - Country:US
Practice Address - Phone:800-301-6198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-15
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA547103163WP2201X, 163WC1600X, 163WC2100X, 163WE0003X, 163WN1003X, 163WA2000X, 163W00000X, 163WC0400X, 163WC1500X
CA95015013363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WC2100XNursing Service ProvidersRegistered NurseContinence Care
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health