Provider Demographics
NPI:1629569967
Name:HALL, DELANA (CRNP)
Entity type:Individual
Prefix:
First Name:DELANA
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 4TH ST N
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:AL
Mailing Address - Zip Code:35121-1424
Mailing Address - Country:US
Mailing Address - Phone:205-274-2320
Mailing Address - Fax:
Practice Address - Street 1:103 4TH ST N
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:AL
Practice Address - Zip Code:35121-1424
Practice Address - Country:US
Practice Address - Phone:205-274-2320
Practice Address - Fax:949-862-1986
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-138032363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily