MEDICARE: DIANA HASHAW ARNP

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	363L00000X	Nurse Practitioner	ARNP2153792	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1679554869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA HASHAW ARNP

Provider Business Mailing Address
First Line	:	9009 CORPORATE LAKE DR
Second Line	:	#200
City	:	TAMPA
State	:	FL
Zip	:	33634-2367
Country	:	US
Telephone Number	:	727-466-7712
Fax Number	:	855-865-0782

Provider Business Practice Location Address
First Line	:	9009 CORPORATE LAKE DR
Second Line	:	#200
City	:	TAMPA
State	:	FL
Zip	:	33634-2367
Country	:	US
Telephone Number	:	727-466-7712
Fax Number	:	855-865-0782

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

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	07/20/2015

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