Individual
KEVIN HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 482-7800
(207) 662-6236
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP221305
ME
363LF0000X
Family Nurse Practitioner
APRN.CNP.022479
OH
Other
Enumeration date
07/06/2018
Last updated
12/20/2022
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