Individual
AMANDA MARIE HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(877) 426-5637
Mailing address
3306 CASTLE DR, UNION, NJ 07083-2510
(201) 918-0280
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1229287
TX
367500000X
Certified Registered Nurse Anesthetist
686730
NY
Other
Enumeration date
03/28/2022
Last updated
04/14/2026
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