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NPI Code Detail

MEDICARE: HANA KLEINOVA CRNA

MEDICARE: HANA KLEINOVA CRNA
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
1367500000XCertified Registered Nurse AnesthetistARNP9228934FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G3705XOTHERFLMEDICARE- BAYFRONT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2G3705OTHERFLBCBS
3P00465670OTHERFLRAILROAD- BAYFRONT
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629053012
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANA KLEINOVA CRNA
Provider Business Mailing Address
First Line : PO BOX 862506
Second Line :
City : ORLANDO
State : FL
Zip : 32886-2506
Country : US
Telephone Number : 913-754-0467
Fax Number : 913-341-5797
Provider Business Practice Location Address
First Line : 2901 W SWANN AVE
Second Line :
City : TAMPA
State : FL
Zip : 33609-4056
Country : US
Telephone Number : 913-754-0467
Fax Number : 913-341-5797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 05/05/2008

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Directions to “ HANA KLEINOVA CRNA” Practice Location

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