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NPI Code Detail

MEDICARE: BRITTANI LAUREN HASS

MEDICARE: BRITTANI LAUREN HASS
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
1363LF0000XFamily Nurse PractitionerAPRN11014671FL

Other Identifiers

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

General Provider Information

NPI Number : 1063187623
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANI LAUREN HASS
Provider Business Mailing Address
First Line : 4205 BELFORT RD STE 4015
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-3623
Country : US
Telephone Number : 904-450-6063
Fax Number : 904-539-4091
Provider Business Practice Location Address
First Line : 6314 N 9TH AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32504-7320
Country : US
Telephone Number : 850-416-4730
Fax Number : 850-416-4702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2021
Last Update Date : 10/03/2024

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Directions to “ BRITTANI LAUREN HASS ” Practice Location

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