Doctor Name: | BARBARA L HANISCH-LUCAS |
NPI Number: | 1023361599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP |
License Number: | RN087930 |
Business Practice Address: | 13299 E Colossal Cave Rd Vail, AZ - 856419001 |
Business Phone Number: | 5207625200 |
Business Fax Number: | 5204075990 |
Mailing Address: | 1260 S Campbell Ave, Building 2 GREEN VALLEY |
State: | AZ |
Postal Code: | 856140503 |
Phone Number: | 5204075600 |
Fax Number: | 5204075990 |
NPI Enumeration Date: | 10/22/2012 |
NPI Last Update Date: | 04/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN087930 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |