Individual
HANNAH M HANEBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 ADMIRAL TROST RD STE 1A, COLUMBIA, IL 62236-2164
(618) 281-7373
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209028757
IL
363LF0000X
Family Nurse Practitioner
Primary
209028757
IL
Other
Enumeration date
10/11/2023
Last updated
06/05/2024
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