MEDICARE: MRS. REBECCA SUE HASMANN FNP

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	363LF0000X	Family Nurse Practitioner	200707	NC

General Provider Information

NPI Number	:	1720042484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA SUE HASMANN FNP

Provider Business Mailing Address
First Line	:	7012 JOHNSON MILL RD
Second Line	:
City	:	BAHAMA
State	:	NC
Zip	:	27503-9689
Country	:	US
Telephone Number	:	919-308-5895
Fax Number	:

Provider Business Practice Location Address
First Line	:	1040 E 3RD ST
Second Line	:
City	:	SILER CITY
State	:	NC
Zip	:	27344-2728
Country	:	US
Telephone Number	:	919-799-2191
Fax Number	:	919-799-2427

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

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	01/06/2022

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