Provider Demographics
NPI:1265025787
Name:HALL, LEANA ANN (APRN)
Entity type:Individual
Prefix:MS
First Name:LEANA
Middle Name:ANN
Last Name:HALL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MIO
Mailing Address - State:MI
Mailing Address - Zip Code:48647-9394
Mailing Address - Country:US
Mailing Address - Phone:989-889-9362
Mailing Address - Fax:
Practice Address - Street 1:2110 S M 76 STE 6
Practice Address - Street 2:
Practice Address - City:WEST BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48661-8821
Practice Address - Country:US
Practice Address - Phone:989-345-1184
Practice Address - Fax:989-345-6944
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-16
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704358940163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse