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NPI Code Detail

MEDICARE: HANNAH NIE FENG PA

MEDICARE: HANNAH NIE FENG PA
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
1363A00000XPhysician AssistantPA9116557FL

General Provider Information

NPI Number : 1801488291
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH NIE FENG PA
Provider Business Mailing Address
First Line : 6545 MONTEREY PT UNIT 102
Second Line :
City : NAPLES
State : FL
Zip : 34105-5074
Country : US
Telephone Number : 239-682-1696
Fax Number :
Provider Business Practice Location Address
First Line : 801 ANCHOR RODE DR STE 100
Second Line :
City : NAPLES
State : FL
Zip : 34103-2742
Country : US
Telephone Number : 239-263-1717
Fax Number : 239-403-9410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2021
Last Update Date : 09/03/2024

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Directions to “ HANNAH NIE FENG PA” Practice Location

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