KIMBERLY RUTH HALLER AGPCNP-BC NPI 1558987560

NPI Information

Kimberly Ruth Haller, AGPCNP-BC is an adult health nurse practitioner in Lebanon, NH. Kimberly Ruth Haller, AGPCNP-BC NPI is 1558987560. 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:

1 MEDICAL CENTER DRIVE
LEBANON, NH
ZIP 03756
Phone: (603) 650-5402

The NPI 1558987560 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 6/25/2020 and was last updated on 6/25/2020.

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:

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