Provider Demographics
NPI:1487102059
Name:PARKER HALL, A LYVONNE (CRNP)
Entity type:Individual
Prefix:
First Name:A
Middle Name:LYVONNE
Last Name:PARKER HALL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 S BELLEFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3552
Mailing Address - Country:US
Mailing Address - Phone:412-529-3942
Mailing Address - Fax:412-529-3927
Practice Address - Street 1:341 S BELLEFIELD AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3552
Practice Address - Country:US
Practice Address - Phone:412-529-3942
Practice Address - Fax:412-529-3927
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASPOO4667B363LS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool