Healthcare Provider Details

I. General information

NPI: 1992636377
Provider Name (Legal Business Name): DYANN HANES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1577 PAYNE AVE
EDWARDS CA
93523-1301
US

IV. Provider business mailing address

1577 PAYNE AVE
EDWARDS CA
93523-1301
US

V. Phone/Fax

Practice location:
  • Phone: 760-306-4966
  • Fax:
Mailing address:
  • Phone: 760-306-4966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number95216495
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: