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NPI Code Detail

MEDICARE: MARISA HAMPSHIRE CNA

MEDICARE:   MARISA  HAMPSHIRE  CNA
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
1251E00000XHome Health Agency266958FL

General Provider Information

NPI Number : 1093177842
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISA HAMPSHIRE CNA
Provider Business Mailing Address
First Line : PO BOX 16011
Second Line :
City : CLEARWATER
State : FL
Zip : 33766-6011
Country : US
Telephone Number : 727-307-0345
Fax Number : 727-674-2932
Provider Business Practice Location Address
First Line : 4374 RIDGEMOOR DR
Second Line :
City : PALM HARBOR
State : FL
Zip : 34685-1165
Country : US
Telephone Number : 727-307-0345
Fax Number : 727-674-2932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 03/22/2016

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Directions to “ MARISA HAMPSHIRE CNA” Practice Location

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