IndividualActive
Bonnieciel Hall, APRN
NPI 1689391559 · Family Nurse Practitioner · Altha, FL
Provider details
- NPI number
- 1689391559
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11022029 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
25097 Nw Bates Rd
Altha, FL 32421-2637
Phone: (850) 209-3588
Approximate (ZIP-level) locationGet directions
Mailing address
25097 Nw Bates Rd
Altha, FL 32421-2637
Registry dates
- Enumerated
- 2022-10-21
- Last updated
- 2022-10-21
- Certified
- 2022-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.