AMY JO HANNEMAN RN MSN AGNP NPI 1750770640

NPI Information

NPI: 1750770640
Provider Name: AMY JO HANNEMAN, RN MSN AGNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
425 PINE RIDGE BLVD
SUITE 300
WAUSAU, WI
ZIP 54401
Phone: (715) 847-2019
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Amy Jo Hanneman, RN MSN AGNP is an adult health nurse practitioner in Wausau, WI with 10 years of experience. Amy Jo Hanneman, RN MSN AGNP NPI is 1750770640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

425 PINE RIDGE BLVD
SUITE 300
WAUSAU, WI
ZIP 54401-123
Phone: (715) 847-2019
Fax: (715) 843-1315

The NPI 1750770640 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/14/2015 and was last updated on 1/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	113915-30	WISCONSIN	No
2	363LA2200X	Nurse Practitioner	Adult Health	113915-30	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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