MEDICARE: KARLEEN HANNA ARNP

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	ARNP9209741	FL

General Provider Information

NPI Number	:	1518093525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLEEN HANNA ARNP

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-424-1400
Fax Number	:	239-424-1421

Provider Business Practice Location Address
First Line	:	8930 COLONIAL CENTER DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7815
Country	:	US
Telephone Number	:	239-343-9532
Fax Number	:	239-343-9517

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

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	12/16/2010

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