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NPI Code Detail

MEDICARE: ALYSSA HANES RN

MEDICARE: ALYSSA HANES RN
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
1163W00000XRegistered NurseRN680240PA

General Provider Information

NPI Number : 1659200335
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA HANES RN
Provider Business Mailing Address
First Line : 41 SHADETREE LN
Second Line :
City : LEVITTOWN
State : PA
Zip : 19055-2201
Country : US
Telephone Number : 215-547-6202
Fax Number : 215-547-3094
Provider Business Practice Location Address
First Line : 41 SHADETREE LN
Second Line :
City : LEVITTOWN
State : PA
Zip : 19055-2201
Country : US
Telephone Number : 215-547-6202
Fax Number : 215-547-3094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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