MEDICARE: HANNAH LYNN GROSSMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	279636	AZ

General Provider Information

NPI Number	:	1164375374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH LYNN GROSSMAN

Provider Business Mailing Address
First Line	:	2615 N HAYDEN RD APT 114
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-2360
Country	:	US
Telephone Number	:	702-466-7853
Fax Number	:

Provider Business Practice Location Address
First Line	:	7524 E ANGUS DR STE 105
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-6417
Country	:	US
Telephone Number	:	480-907-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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