Individual
MRS. NANCY M HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
207 SPARKS AVE, SUITE 203, JEFFERSONVILLE, IN 47130
(812) 218-8555
(812) 218-8557
Mailing address
207 SPARKS AVE, SUITE 203, JEFFERSONVILLE, IN 47130
(812) 218-8555
(812) 218-8557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000146A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108197
ANTHEM
IN
Enumeration date
08/14/2006
Last updated
04/23/2008
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