Provider Demographics
NPI:1427935667
Name:HALSELL, REAU'NNA
Entity type:Individual
Prefix:
First Name:REAU'NNA
Middle Name:
Last Name:HALSELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 ILENE ST APT 3B
Mailing Address - Street 2:
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906-6114
Mailing Address - Country:US
Mailing Address - Phone:502-439-8993
Mailing Address - Fax:
Practice Address - Street 1:127 ILENE ST APT 3B
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-6114
Practice Address - Country:US
Practice Address - Phone:502-439-8993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program