Provider Demographics
NPI:1609450154
Name:HANLEY, EMILIA (RN9416556)
Entity Type:Individual
Prefix:
First Name:EMILIA
Middle Name:
Last Name:HANLEY
Suffix:
Gender:F
Credentials:RN9416556
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6859
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00914-6859
Mailing Address - Country:US
Mailing Address - Phone:787-925-7780
Mailing Address - Fax:
Practice Address - Street 1:CONDOMINIO VISTAS DE SAN JUAN, AVE. FERNANDEZ JUNCOS
Practice Address - Street 2:#600, APT. 702
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-925-7780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR130300367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5080798OtherDRIVER'S LICENSE