Healthcare Provider Details

I. General information

NPI: 1619425592
Provider Name (Legal Business Name): JOSHUA ADAM HAND CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2016
Last Update Date: 09/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SW 1ST AVE
OCALA FL
34471-6504
US

IV. Provider business mailing address

82 PATTON AVE SUITE 510
ASHEVILLE NC
28801-3319
US

V. Phone/Fax

Practice location:
  • Phone: 828-398-5244
  • Fax:
Mailing address:
  • Phone: 828-398-5244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN9372478
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: