Individual
HANAN KALLASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10 E WILSON BLVD, HAGERSTOWN, MD 21740-7331
(410) 419-9184
Mailing address
118 FIESTA DR, STEPHENSON, VA 22656-1876
(410) 419-9184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024172402
VA
363LF0000X
Family Nurse Practitioner
AC001498
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024172402
VA
Other
Enumeration date
03/20/2015
Last updated
02/25/2026
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