Healthcare Provider Details

I. General information

NPI: 1780131235
Provider Name (Legal Business Name): ALOHA DEANNE HAND DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 01/12/2017
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
88101-5095
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 NumberCNP-03002
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: