Provider Demographics
NPI:1952585929
Name:CARR, HALLI B (DNP, APRN, ACNP-BC)
Entity Type:Individual
Prefix:
First Name:HALLI
Middle Name:B
Last Name:CARR
Suffix:
Gender:F
Credentials:DNP, APRN, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4552
Mailing Address - Country:US
Mailing Address - Phone:972-520-8103
Mailing Address - Fax:
Practice Address - Street 1:6800 SCENIC DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4552
Practice Address - Country:US
Practice Address - Phone:972-520-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP119396363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX219150403Medicaid
P00670753OtherRR MEDICARE
TX219150403Medicaid
P00670753OtherRR MEDICARE
TXTXB114229Medicare PIN
TX219150403Medicaid