GLENDA HANNAN


Address: 112 Se 14th St, Deerfield Beach, FL 33441-6720
Phone: 9549138755

GLENDA HANNAN (NPI# 1508169699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508169699
Entity Type Individual
Full Name GLENDA HANNAN
Other Name GLENDA MACIEL-HANNAN
Credential ARNP
Practice Address 112 Se 14th St
Deerfield Beach
FL 33441-6720
Practice Telephone 9549138755
Mailing Telephone 9549138755
Enumeration Date 2010-12-10
Last Update Date 2010-12-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
ARN9275654 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 112 SE 14TH ST
City DEERFIELD BEACH
State FL
Zip Code 33441-6720

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City DEERFIELD BEACH
Zip Code 33441

Improve Information

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Dataset Information

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.

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