Individual
RICHARD JOHN HANEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2760 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-6343
(904) 217-7058
Mailing address
PO BOX 3123, SAINT AUGUSTINE, FL 32085-3123
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9201530
FL
Other
Enumeration date
10/02/2006
Last updated
12/10/2019
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