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NPI Code Detail

MEDICARE: DR. ISABELLA HANSEN

MEDICARE:  DR. ISABELLA  HANSEN
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
1183500000XPharmacistPS65651FL

General Provider Information

NPI Number : 1144907460
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ISABELLA HANSEN
Provider Business Mailing Address
First Line : 813 SCHULER CT
Second Line :
City : CRESCENT SPRINGS
State : KY
Zip : 41017-3518
Country : US
Telephone Number : 859-496-7367
Fax Number :
Provider Business Practice Location Address
First Line : 4300 CURRY FORD RD
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2707
Country : US
Telephone Number : 407-281-7499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2023
Last Update Date : 06/28/2023

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Directions to “ DR. ISABELLA HANSEN ” Practice Location

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