NPI 1407820509 · live from the CMS NPI Registry
Jurgen M Hall, FNP
Nurse Practitioner in Flagstaff, AZ. National Provider Identifier 1407820509, active.
NPI record
| NPI | 1407820509 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 8410 Stardust Trail, Flagstaff, AZ 86004 |
| Practice phone | 928-737-6002 |
| Mailing address | 8410 Stardust Trl, Flagstaff, AZ 86004 |
| Enumerated | February 15, 2006 |
| Last updated | March 7, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | RN091549 (AZ) |
| Nurse Practitioner primary | 363L00000X | AP1515 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.