Provider Demographics
NPI:1215929765
Name:HAND, RITA RAE (GNP)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:RAE
Last Name:HAND
Suffix:
Gender:F
Credentials:GNP
Other - Prefix:
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Mailing Address - Street 1:362 N FLORES ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-2610
Mailing Address - Country:US
Mailing Address - Phone:323-852-7062
Mailing Address - Fax:323-951-0786
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:310-423-9536
Practice Address - Fax:323-951-0786
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA11730363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWNP11730AMedicare ID - Type Unspecified
CAP64893Medicare UPIN