Most Relevant Information
Provider Data
| NPI Number: | 1003573825 |
| Provider Name: | DANAYA LEE HALL SWHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 10005467 |
Most Important Dates
| Enumeration Date: | 11/29/2021 |
| Last Updated: | 11/23/2023 |
Provider Practice Location
2050 LEXINGTON RD
VERSAILLES
KY
403831738
Practice Location Phone/Fax
| Phone: | 8592514700 |
| Fax: |
Provider Mailing Location
2002 N HUMBOLDT ST
PORTLAND
OR
972173526
Provider Mailing Phone/Fax
| Phone: | 5104070785 |
| Fax: |