Kelly Hannahan, | |
2959 Alafaya Trl Ste 121, Oviedo, FL 32765-9482 | |
(407) 986-1360 | |
Not Available |
Full Name | Kelly Hannahan |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2959 Alafaya Trl Ste 121, Oviedo, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619606233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11020170 (Florida) | Primary |
Entity Name | Osceola Mental Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346287240 PECOS PAC ID: 2062313703 Enrollment ID: O20040116000075 |
Mailing Address | Practice Location Address |
---|---|
Kelly Hannahan, Po Box 622168, Oviedo, FL 32762-2168 Ph: (954) 610-8420 | Kelly Hannahan, 2959 Alafaya Trl Ste 121, Oviedo, FL 32765-9482 Ph: (407) 986-1360 |
Yun Zhao, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Augustine Ct, Oviedo, FL 32765 Phone: 919-918-7883 | |
Natassja Juliette Debra, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1942 W County Road 419, Oviedo, FL 32766 Phone: 407-603-9134 | |
Mr. Ibrahim Shraim, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7250 Red Bug Lake Rd Ste 1008, Oviedo, FL 32765 Phone: 407-542-0911 Fax: 407-542-0950 | |
Rusha Khanal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1341 Lukas Acres Way, Oviedo, FL 32765 Phone: 617-840-5541 | |
Norisha Quinones, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8300 Red Bug Lake Rd, Oviedo, FL 32765 Phone: 440-890-2273 | |
Angel Antono Ponte Aldana, APRN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2660 Sweet Magnolia Pl, Oviedo, FL 32765 Phone: 321-501-8019 | |
Kristen Elaine Klaus, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2234 Blossomwood Dr, Oviedo, FL 32765 Phone: 407-907-5577 |