Individual
DR. WENDY JEANNE HANAFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1590 GULF BLVD # CONDO503, CLEARWATER BEACH, FL 33767-2938
(610) 770-1606
Mailing address
2527 CRANBERRY HIGHWAY, AFFILIATED PROFESSIONAL SERVICES, WAREHAM, MA 02571
(508) 295-7271
(508) 273-1241
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01048647A
IN
2085R0202X
Diagnostic Radiology Physician
MD460368
PA
2085R0202X
Diagnostic Radiology Physician
Primary
ME123549
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103301691
—
PA
05
—
200163510
—
IN
01
—
300084640
RAILROAD MEDICARE
IN
01
—
300127680
RAILROAD MEDICARE
IN
05
—
64881378
—
KY
01
—
P00100329
RAILROAD MEDICARE
IN
Enumeration date
10/04/2005
Last updated
11/19/2018
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