Individual
MRS. MOLLY HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, BSN
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
Mailing address
158 BOTSFORD AVE, MILFORD, CT 06460-5809
(508) 838-4483
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN02453
RI
363L00000X
Nurse Practitioner
RN2294943
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
11460
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN02453
STATE OF RHODE ISLAND DEPARTMENT OF HEALTH
RI
Enumeration date
10/09/2020
Last updated
07/10/2023
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