MARY LEE HANEMANN (NPI# 1124354758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124354758 |
| Entity Type | Individual |
| Full Name | MARY LEE HANEMANN |
| Credential | APRN |
| Practice Address |
1021 Whitetail Dr Mandeville LA 70448-1998 |
| Practice Telephone | 9857780528 |
| Mailing Telephone | 9857780528 |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
RN071661 AP03536 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1021 WHITETAIL DR |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448-1998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| Find all providers in zip 70448 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255525762 | Jana Leigh Stringer | Clinical Nurse Specialist | 312 Grammont St, Suite 404, Monroe, LA 71201-7457 | 2007-08-29 |
| 1437351574 | Terry Bennett Goodrich | Clinical Nurse Specialist | 207 Jefferson St, Mansfield, LA 71052-1636 | 2007-06-01 |
| 1902987761 | Olivia Cooper | Clinical Nurse Specialist | 1601 Perdido St, New Orleans, LA 70112-1262 | 2006-10-18 |
| 1235249517 | Joan Patin Normand | Clinical Nurse Specialist | 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 | 2006-08-30 |
| City | MANDEVILLE |
| Zip Code | 70448 |
Please comment or provide details below to improve the information on MARY LEE HANEMANN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.