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NPI Code Detail

MEDICARE: KRISTIN NIXON HAS, BC-HIS

MEDICARE: KRISTIN NIXON HAS, BC-HIS
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
1237700000XHearing Instrument SpecialistAS 4871FL

General Provider Information

NPI Number : 1932573888
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN NIXON HAS, BC-HIS
Provider Business Mailing Address
First Line : 11834 COUNTY ROAD 101
Second Line : SUITE 203
City : THE VILLAGES
State : FL
Zip : 32162-9340
Country : US
Telephone Number : 352-775-9041
Fax Number : 352-633-8232
Provider Business Practice Location Address
First Line : 11834 COUNTY ROAD 101
Second Line : SUITE 203
City : THE VILLAGES
State : FL
Zip : 32162-9340
Country : US
Telephone Number : 352-775-9041
Fax Number : 352-633-8232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2015
Last Update Date : 11/16/2015

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