Individual
SUZANNE MARIE HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1509 STATE ST, LA PORTE, IN 46350-3115
(219) 326-5700
Mailing address
10716 W 1600 S, WANATAH, IN 46390-0047
(219) 851-4755
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000331A
IN
Other
Enumeration date
08/12/2019
Last updated
09/16/2020
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