Michelle R Hallstrom, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP010892 Issued in PA

Practice address

89 Beaver Dr
Du Bois, PA 15801-2425

Phone

(814) 371-4524

Fax

(814) 371-0331

NPI assigned

Sep 14, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1043528953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012425",
            "telephone_number": "814-371-4524",
            "fax_number": "814-371-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012425",
            "telephone_number": "814-371-4524",
            "fax_number": "814-371-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLSTROM",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Claire Haley, CRNA
• Christopher Paul Hall, D.O.
• Michael M Hall, MD
• Trudy Hallowell, RN
• Laun Hallstrom
• Marie Adaline Hamaker, B. S., L. P. N.
• Ralph E. Hamby Jr., CRNA
• Raegan Lee Hanna, M.S., CF-SLP
• Manpreet S Hans, MD
• Dominick Hanyok, DO

• Nurse Practitioner in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.