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NPI Code Detail

MEDICARE: SARAH JANE HANSHAW FNP-BC

MEDICARE: SARAH JANE HANSHAW FNP-BC
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 Practitioner209011603IL

General Provider Information

NPI Number : 1164837761
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH JANE HANSHAW FNP-BC
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4001 S DECATUR BLVD STE 25
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-5857
Country : US
Telephone Number : 725-224-6967
Fax Number : 833-749-0357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2014
Last Update Date : 03/04/2026

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Directions to “ SARAH JANE HANSHAW FNP-BC” Practice Location

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