Organization · Type 2 NPI

Hall Healthcare LLC

Nurse Practitioner · Bridgeport, CT

NPI number 1104700913 Active

Practice location

113 Middle St
Bridgeport, CT 06604-4410

Fax (641) 847-5518

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104700913

Hall Healthcare LLC's National Provider Identifier is 1104700913, issued on Aug 4, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bridgeport, CT. The record was last updated on Aug 4, 2025.