Individual
KAREN MARIE HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5060 N 19TH AVE STE 102, PHOENIX, AZ 85015-3211
(602) 296-5540
(602) 296-5442
Mailing address
5060 N 19TH AVE STE 102, PHOENIX, AZ 85015-3211
(602) 296-5540
(602) 296-5442
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
208000000X
Pediatrics Physician
AP3208
AZ
208VP0000X
Pain Medicine Physician
AP3208
AZ
363LF0000X
Family Nurse Practitioner
Primary
TAP3208
AZ
405300000X
Prevention Professional
AP3208
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490223
—
AZ
Enumeration date
12/01/2008
Last updated
06/24/2019
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