Individual
HANNAH MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-6104
(252) 744-6148
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
13032
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124502356
—
NC
01
—
13032
AUDIOLOGY
NC
01
—
202MT
BCBS OF NC
NC
01
—
Q64037A
MEDICARE
NC
Enumeration date
09/24/2018
Last updated
02/23/2024
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