Individual
AUSTIN HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
11530 PROVIDENCE RD, CHARLOTTE, NC 28277-2691
(704) 667-0670
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5013294
NC
363LF0000X
Family Nurse Practitioner
Primary
5013294
NC
Other
Enumeration date
07/21/2020
Last updated
07/15/2024
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