ANGELIQUE R. VON HALLE RN NP NPI 1639394745

NPI Information

NPI: 1639394745
Provider Name: ANGELIQUE R. VON HALLE, RN, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
391 TAYLOR BLVD STE 100
PLEASANT HILL, CA
ZIP 94523
Phone: (925) 608-6550
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Angelique R. Von Halle, RN, NP is a psychiatric/mental health nurse practitioner in Pleasant Hill, CA. Angelique R. Von Halle, RN, NP NPI is 1639394745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

391 TAYLOR BLVD STE 100
PLEASANT HILL, CA
ZIP 94523-289
Phone: (925) 608-6550

The NPI 1639394745 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 3/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	RN 641542	CALIFORNIA	No
2	363L00000X	Nurse Practitioner		18389	CALIFORNIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	18389	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11416	OTHER		SFGH INTERNAL USE ONLY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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