IndividualActive
Theresa Hall, APRN
NPI 1265984181 · Gerontology Nurse Practitioner · Palmer, AK
Provider details
- NPI number
- 1265984181
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 3010502 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2490 S Woodworth Loop Ste 250
Palmer, AK 99645-7407
Phone: (907) 861-6700
Approximate (ZIP-level) locationGet directions
Mailing address
2490 S Woodworth Loop Ste 250
Palmer, AK 99645-7407
Registry dates
- Enumerated
- 2016-10-26
- Last updated
- 2025-01-16
- Certified
- 2025-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.