Individual
MICHELE HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 SAINT JOHNSBURY RD, LITTLETON, NH 03561-3442
(603) 444-9000
Mailing address
600 SAINT JOHNSBURY RD, LITTLETON, NH 03561-3442
(603) 444-9000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
053547-23-11
NH
367500000X
Certified Registered Nurse Anesthetist
RN266324L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011108
—
VT
01
—
2197483
CIGNA HEALTHCARE
NH
01
—
40Y008318NH01
BLUE CROSS BLUE SHIELD
NH
01
—
68381
BLUE CROSS BLUE SHIELD
VT
05
—
80300008
—
NH
01
—
P64615
HARVARD PILGRIM HEALTHCAR
NH
Enumeration date
06/09/2006
Last updated
08/30/2013
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