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NPI Code Detail

MEDICARE: BRITTANY HANLON CNP

MEDICARE:   BRITTANY  HANLON  CNP
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 Practitioner63463NM
2363L00000XNurse Practitioner63463NM

General Provider Information

NPI Number : 1164002275
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY HANLON CNP
Provider Business Mailing Address
First Line : PO BOX 26666
Second Line : PROVIDER ENROLLMENT
City : ALBUQUERQUE
State : NM
Zip : 87125-6666
Country : US
Telephone Number : 505-923-6770
Fax Number : 505-923-5354
Provider Business Practice Location Address
First Line : 4100 HIGH RESORT BLVD SE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87124-5901
Country : US
Telephone Number : 505-462-8520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2021
Last Update Date : 05/26/2022

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Directions to “ BRITTANY HANLON CNP” Practice Location

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