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NPI Code Detail

MEDICARE: PATRICIA A HANSON APRN

MEDICARE: PATRICIA A HANSON APRN
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
1163WP0808XPsychiatric/Mental Health Registered Nurse9478580FL
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11037220FL

General Provider Information

NPI Number : 1295551034
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA A HANSON APRN
Provider Business Mailing Address
First Line : 24 N FERNWOOD DR
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-2910
Country : US
Telephone Number : 321-652-6335
Fax Number :
Provider Business Practice Location Address
First Line : 200 S HARBOR CITY BLVD STE 401
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-1389
Country : US
Telephone Number : 321-259-1662
Fax Number : 321-779-7729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2024
Last Update Date : 04/21/2025

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