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NPI Code Detail

MEDICARE: HANA O UPRIGHT NP

MEDICARE: HANA O UPRIGHT NP
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
1363L00000XNurse Practitioner3077WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22006005631-22OTHERWIANCC CERTIFICATE

General Provider Information

NPI Number : 1083837413
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANA O UPRIGHT NP
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 262-642-2000
Fax Number :
Provider Business Practice Location Address
First Line : 2483 CORPORATE CIR
Second Line :
City : EAST TROY
State : WI
Zip : 53120-2575
Country : US
Telephone Number : 262-642-2000
Fax Number : 262-642-2143
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 10/31/2023

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