Doctor Name: | MEGHAN HANNA |
NPI Number: | 1114301835 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 4704265832 |
Business Practice Address: | 510 Ashmun St Sault Sainte Marie, MI - 497831964 |
Business Phone Number: | 9066326013 |
Business Fax Number: | |
Mailing Address: | 4515 E. M-48, PICKFORD |
State: | MI |
Postal Code: | 49774 |
Phone Number: | 9064404870 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2015 |
NPI Last Update Date: | 07/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704265832 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |