Provider Demographics
NPI:1093758245
Name:WEITZMAN, HANNA (NP-C)
Entity Type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:WEITZMAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 S OCEAN DR
Mailing Address - Street 2:APT 202
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-6649
Mailing Address - Country:US
Mailing Address - Phone:305-331-8998
Mailing Address - Fax:
Practice Address - Street 1:758 E 9TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2202
Practice Address - Country:US
Practice Address - Phone:305-331-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3280222363L00000X
NY304844363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner