Individual
ANDRA M HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4570 LYONS RD, #110, COCONUT CREEK, FL 33073-3481
(954) 971-3210
(954) 971-3427
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(954) 971-3210
(954) 971-3427
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9241562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307661000
—
FL
Enumeration date
06/22/2006
Last updated
10/04/2013
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