Doctor Name: | KATHRYN HAN |
NPI Number: | 1962826008 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R183474 |
Business Practice Address: | 7793 Montgomery Mews Ct Severn, MD - 211441245 |
Business Phone Number: | 7862461081 |
Business Fax Number: | |
Mailing Address: | 7793 Montgomery Mews Ct, SEVERN |
State: | MD |
Postal Code: | 211441245 |
Phone Number: | 7862461081 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2014 |
NPI Last Update Date: | 02/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | R183474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |