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Individual

ELIZABETH ANN HANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2481 N 72ND AVE, HART, MI 49420-8008
(231) 873-2163
(231) 873-2143
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704201363
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588964100
MI
Enumeration date
10/29/2010
Last updated
03/17/2021
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