MEDICARE: HANNAH RAE RODEN APRN, FNP-C

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	363L00000X	Nurse Practitioner	1003300	TX

General Provider Information

NPI Number	:	1215756523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH RAE RODEN APRN, FNP-C

Provider Business Mailing Address
First Line	:	1850 HICKORY ST STE 102
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79601-2334
Country	:	US
Telephone Number	:	325-677-2801
Fax Number	:	325-677-9110

Provider Business Practice Location Address
First Line	:	1850 HICKORY ST STE 102
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79601-2334
Country	:	US
Telephone Number	:	325-677-2801
Fax Number	:	325-677-9110

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

Provider Enumeration Date	:	10/04/2024
Last Update Date	:	01/16/2026

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