Provider Demographics
NPI:1316645047
Name:HALLMAN, CARISA (CD(DONA))
Entity type:Individual
Prefix:
First Name:CARISA
Middle Name:
Last Name:HALLMAN
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 PINECONE DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-3774
Mailing Address - Country:US
Mailing Address - Phone:435-668-3682
Mailing Address - Fax:
Practice Address - Street 1:514 PINECONE DR
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3774
Practice Address - Country:US
Practice Address - Phone:435-668-3682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula