Individual
MICHELLE HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, RN
Contact information
Practice address
5348 UNIVERSITY AVE STE 108, SAN DIEGO, CA 92105-8025
(619) 255-7550
Mailing address
5348 UNIVERSITY AVE STE 108, SAN DIEGO, CA 92105-8025
(619) 255-7550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95100388
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95009867
CA
Other
Enumeration date
01/17/2017
Last updated
10/02/2018
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