Individual
ELIZABETH L HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
4865 MARKET ST, PHILADELPHIA, PA 19139-3508
(267) 425-9800
Mailing address
812 S HANCOCK ST, PHILADELPHIA, PA 19147-3441
(610) 368-6069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN645127
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
SP013393
PA
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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