Provider Demographics
NPI:1720042484
Name:HASMANN, REBECCA SUE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:SUE
Last Name:HASMANN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7012 JOHNSON MILL RD
Mailing Address - Street 2:
Mailing Address - City:BAHAMA
Mailing Address - State:NC
Mailing Address - Zip Code:27503-9689
Mailing Address - Country:US
Mailing Address - Phone:919-308-5895
Mailing Address - Fax:
Practice Address - Street 1:1040 E 3RD ST
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-2728
Practice Address - Country:US
Practice Address - Phone:919-799-2191
Practice Address - Fax:919-799-2427
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200707363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
2599396AMedicare ID - Type Unspecified
P22776Medicare UPIN