Provider Demographics
NPI:1467284083
Name:RAI, HANNAH MARIE (FNP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:RAI
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 1:2050 SW 76TH LN
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-6768
Mailing Address - Country:US
Mailing Address - Phone:315-236-5492
Mailing Address - Fax:
Practice Address - Street 1:2050 SW 76TH LN
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-6768
Practice Address - Country:US
Practice Address - Phone:315-236-5492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11034544363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner