Individual
ANNE HANNAHAN
Active
Individual
ANNE HANNAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MA,, LP
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP0998
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61-90776
MEDICA OUT OF NETWORK
MN
01
—
84G45BI
BLUECROSS BLUESHIELD
MN
Enumeration date
11/13/2006
Last updated
07/08/2007
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