Individual ProviderCandice Maria HannaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address18701 N 67th Ave, Glendale, AZ 85308-7100(623) 561-1000(480) 458-8304PECOS EnrollmentBased on the most recent information from CMS, provider Candice Maria Hanna does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1467148254Provider TypeIndividualFull NameHanna, Candice MariaCredentialDOGenderFemaleSole ProprietorNoEnumeration Date4/13/2023Last Updated4/25/2023Contact InformationPractice LocationPractice Address18701 N 67th Ave, Glendale, AZ 85308-7100Phone(623) 561-1000FaxUnlisted FaxMailing LocationMailing Address14321 N 99th St, Scottsdale, AZ 85260-3831Phone(480) 458-8304FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer