MEDICARE: FRENK HATANGIMANA

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
1	163WX0003X	Inpatient Obstetric Registered Nurse	163WX0003X	TN

General Provider Information

NPI Number	:	1124807821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRENK HATANGIMANA

Provider Business Mailing Address
First Line	:	8954 MCMURPHY DR APT 101
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-1195
Country	:	US
Telephone Number	:	901-228-9164
Fax Number	:

Provider Business Practice Location Address
First Line	:	8954 MCMURPHY DR APT 101
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-1195
Country	:	US
Telephone Number	:	901-228-9164
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2023
Last Update Date	:	10/24/2023

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Directions to “ FRENK HATANGIMANA ” Practice Location

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