MEDICARE: MS. HANNAH HARRIS-AUSTIN 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
1	363LA2200X	Adult Health Nurse Practitioner	TAPRN701534	NV

General Provider Information

NPI Number	:	1487192308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HANNAH HARRIS-AUSTIN APRN

Provider Business Mailing Address
First Line	:	494 REDRUTH DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-1244
Country	:	US
Telephone Number	:	702-506-6629
Fax Number	:

Provider Business Practice Location Address
First Line	:	494 REDRUTH DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-1244
Country	:	US
Telephone Number	:	702-506-6629
Fax Number	:

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

Provider Enumeration Date	:	02/11/2017
Last Update Date	:	02/11/2017

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