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NPI Code Detail

MEDICARE: DEBRA HASTINGS APRN

MEDICARE: DEBRA HASTINGS APRN
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
1363L00000XNurse PractitionerARNP9221044FL
2363LF0000XFamily Nurse PractitionerAPRN9221044FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ARNP9221044OTHERFLMEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366441230
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA HASTINGS APRN
Provider Business Mailing Address
First Line : 13403 BOYETTE RD
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-8742
Country : US
Telephone Number : 813-654-1775
Fax Number : 813-651-9082
Provider Business Practice Location Address
First Line : 13403 BOYETTE RD
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-8742
Country : US
Telephone Number : 813-654-1775
Fax Number : 813-651-9082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 08/26/2019

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Directions to “ DEBRA HASTINGS APRN” Practice Location

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