Provider Demographics
NPI:1649086489
Name:LAURA M. HANSCHKA CRNFA
Entity type:Organization
Organization Name:LAURA M. HANSCHKA CRNFA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSCHKA
Authorized Official - Suffix:
Authorized Official - Credentials:CRNFA
Authorized Official - Phone:480-614-1501
Mailing Address - Street 1:28150 N ALMA SCHOOL PKWY STE 103-285
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-8061
Mailing Address - Country:US
Mailing Address - Phone:480-980-8206
Mailing Address - Fax:480-281-5224
Practice Address - Street 1:9003 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6709
Practice Address - Country:US
Practice Address - Phone:480-882-7450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty