Individual
MICHELLE E HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 410-7476
Mailing address
8624 PINE SPRINGS CT NE, ALBUQUERQUE, NM 87113-1262
(505) 948-0474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R57929
NM
363L00000X
Nurse Practitioner
Primary
53457
NM
Other
Enumeration date
05/31/2018
Last updated
06/08/2024
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