MEDICARE: MRS. MARY ANN HAND R.N.

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	163WP0200X	Pediatric Registered Nurse	2573512	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992844963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY ANN HAND R.N.

Provider Business Mailing Address
First Line	:	11728 DERBYSHIRE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-2639
Country	:	US
Telephone Number	:	813-854-4069
Fax Number	:

Provider Business Practice Location Address
First Line	:	7402 N 56TH ST
Second Line	:	SUITE 906
City	:	TAMPA
State	:	FL
Zip	:	33617-7733
Country	:	US
Telephone Number	:	813-988-7633
Fax Number	:	813-814-0403

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

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	07/09/2007

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