Individual
HANNAH PROVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12449 HERNDON RD, SPOTSYLVANIA, VA 22553-4031
(540) 848-3041
Mailing address
12449 HERNDON RD, SPOTSYLVANIA, VA 22553-4031
(540) 848-3041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024181128
VA
Other
Enumeration date
03/29/2021
Last updated
06/29/2024
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