Individual
RICHARD HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 W FOREST PARK AVE, BALTIMORE, MD 21215-7913
(443) 844-7833
Mailing address
2500 W FOREST PARK AVE, BALTIMORE, MD 21215-7913
(443) 844-7833
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R238580
MD
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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