Provider Demographics
NPI:1215983317
Name:HALL-INGALLS, GINA ELIZABETH (ARNP-C)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:ELIZABETH
Last Name:HALL-INGALLS
Suffix:
Gender:F
Credentials:ARNP-C
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Mailing Address - Street 1:17580 US HIGHWAY 441
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-6711
Mailing Address - Country:US
Mailing Address - Phone:352-383-8200
Mailing Address - Fax:352-735-9567
Practice Address - Street 1:17580 US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-6711
Practice Address - Country:US
Practice Address - Phone:352-383-8200
Practice Address - Fax:352-735-9567
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2015-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP2620952363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305126900Medicaid
FLE2108UMedicare UPIN