Individual
NANCY J HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
PO BOX 74953, CLEVELAND, OH 44194-1036
(440) 879-0081
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-05369
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336716
ANTHEM
OH
05
—
2493092
—
OH
Enumeration date
02/02/2006
Last updated
07/11/2007
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