Individual
PATRICIA M HANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
110 PEPPER HILL WAY, AIKEN, SC 29801-2818
(803) 642-6060
(706) 228-3433
Mailing address
1 10TH ST, SUITE 400, AUGUSTA, GA 30901-0100
(800) 919-1190
(706) 737-2271
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2288
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0591
—
SC
01
—
C00880
UPIN
—
01
—
P00381398
RAILROAD MEDICARE
SC
Enumeration date
05/17/2006
Last updated
11/09/2011
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