Individual
MR. MICHAEL D HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
5800 ONE PERKINS PLACE DR STE A, BATON ROUGE, LA 70808-9113
(225) 224-8690
Mailing address
5800 ONE PERKINS PLACE DR STE A, BATON ROUGE, LA 70808-9113
(225) 224-8690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224454
LA
Other
Enumeration date
03/10/2022
Last updated
03/24/2022
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