Provider Demographics
NPI:1992844963
Name:HAND, MARY ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARY ANN
Middle Name:
Last Name:HAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11728 DERBYSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-2639
Mailing Address - Country:US
Mailing Address - Phone:813-854-4069
Mailing Address - Fax:
Practice Address - Street 1:7402 N 56TH ST
Practice Address - Street 2:SUITE 906
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-7733
Practice Address - Country:US
Practice Address - Phone:813-988-7633
Practice Address - Fax:813-814-0403
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2573512163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL8112606Medicaid