Provider Demographics
NPI:1629872114
Name:HALLMAN, SUSAN M (LPN)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:HALLMAN
Suffix:
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 1:536 ROCKDALE RD
Mailing Address - Street 2:
Mailing Address - City:VALE
Mailing Address - State:NC
Mailing Address - Zip Code:28168-9234
Mailing Address - Country:US
Mailing Address - Phone:980-389-9947
Mailing Address - Fax:
Practice Address - Street 1:536 ROCKDALE RD
Practice Address - Street 2:
Practice Address - City:VALE
Practice Address - State:NC
Practice Address - Zip Code:28168-9234
Practice Address - Country:US
Practice Address - Phone:980-389-9947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC64678164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse