Casey, Elisa Hanson
Casey, Elisa Hanson is an individual health care provider with primary practice located at 1965 Capital Cir Ne Ste 200 , Tallahassee FL 32308-8402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Casey, Elisa Hanson can be contacted via phone (850) 656-2006.Contact Information
Primary practice address
1965 Capital Cir Ne Ste 200
Tallahassee FL 32308-8402
Phone: (850) 656-2006
Fax: (850) 656-2820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP2749512 | Florida |
Profile Details
| NPI number | 1154313138 |
|---|---|
| LBN Legal business name | Casey, Elisa Hanson |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Apr 15th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154313138 | NPPES |
| Florida | MEDICAID | 307174000 | |
| Florida | Other | Y082J |
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