Provider Demographics
NPI:1174645014
Name:HIRSCH, NANCY E (AUD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:E
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:NANCY
Other - Middle Name:HIRSCH
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:3740 EXCALIBUR WAY
Mailing Address - Street 2:RM 315
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32583
Mailing Address - Country:US
Mailing Address - Phone:850-626-3072
Mailing Address - Fax:850-983-7007
Practice Address - Street 1:3740 EXCALIBUR WAY
Practice Address - Street 2:RM 315
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32583-4502
Practice Address - Country:US
Practice Address - Phone:850-626-3072
Practice Address - Fax:850-983-7007
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80056231H00000X, 237600000X
FLAY 1642231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter