Individual
JOHN HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7500 BARSTOW ST NE, ALBUQUERQUE, NM 87109-4951
(505) 821-1810
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-83435
NM
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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