Provider Demographics
NPI:1346030475
Name:HALL, JAMES (MSN, RN, CRNI)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:HALL
Suffix:
Gender:M
Credentials:MSN, RN, CRNI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1726 WESTVIEW XING
Mailing Address - Street 2:
Mailing Address - City:GRANTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21536-3328
Mailing Address - Country:US
Mailing Address - Phone:301-268-9251
Mailing Address - Fax:
Practice Address - Street 1:1726 WESTVIEW XING
Practice Address - Street 2:
Practice Address - City:GRANTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21536-3328
Practice Address - Country:US
Practice Address - Phone:301-268-9251
Practice Address - Fax:301-268-9251
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR116796163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy