Provider Demographics
NPI:1427507300
Name:HAND FAMILY HEALTHCARE DNP FNP PC
Entity type:Organization
Organization Name:HAND FAMILY HEALTHCARE DNP FNP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ALOHA
Authorized Official - Middle Name:DEANNE
Authorized Official - Last Name:HAND
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:575-935-1625
Mailing Address - Street 1:PO BOX 5095
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:NM
Mailing Address - Zip Code:88102-5095
Mailing Address - Country:US
Mailing Address - Phone:575-935-1625
Mailing Address - Fax:
Practice Address - Street 1:2001 W 21ST ST
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:NM
Practice Address - Zip Code:88101-4086
Practice Address - Country:US
Practice Address - Phone:575-935-1625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-03
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty