Individual
HANNAH LYNN KONICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1089
Mailing address
8850 LYRA DR STE 338, COLUMBUS, OH 43240-0001
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1140894
OH
Other
Enumeration date
04/05/2023
Last updated
11/03/2023
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