| Doctor Name: | ANDRA M HANLON |
| NPI Number: | 1063458248 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9241562 |
| Business Practice Address: | 4570 Lyons Rd #110 Coconut Creek, FL - 330733481 |
| Business Phone Number: | 9549713210 |
| Business Fax Number: | 9549713427 |
| Mailing Address: | 900 S Pine Island Rd, Suite 800 PLANTATION |
| State: | FL |
| Postal Code: | 333243920 |
| Phone Number: | 9549713210 |
| Fax Number: | 9549713427 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 10/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | ARNP9241562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |