Individual
MARY ELLEN ROSE HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
6203 CHRONICLE ST, HYATTSVILLE, MD 20782-2962
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R240407
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
NP1041434
DC
Other
Enumeration date
03/02/2023
Last updated
09/01/2023
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