Healthcare Provider Details

I. General information

NPI: 1427507300
Provider Name (Legal Business Name): HAND FAMILY HEALTHCARE DNP FNP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2016
Last Update Date: 12/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W 21ST ST
CLOVIS NM
88101-4086
US

IV. Provider business mailing address

PO BOX 5095
CLOVIS NM
88102-5095
US

V. Phone/Fax

Practice location:
  • Phone: 575-935-1625
  • Fax:
Mailing address:
  • Phone: 575-935-1625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALOHA DEANNE HAND
Title or Position: OWNER/PROVIDER
Credential: CNP
Phone: 575-935-1625