Individual
HANNAH ALINA DEHERTOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
41 N MAIN ST STE 300, WEST HARTFORD, CT 06107-1929
(860) 313-0448
Mailing address
24 PROCTOR DR, WEST HARTFORD, CT 06117-2037
(860) 670-3075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
172750
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
12.010825
CT
Other
Enumeration date
07/12/2022
Last updated
05/27/2024
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