MEDICARE: HANNAH LINGG APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.0037356	OH

General Provider Information

NPI Number	:	1710710223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH LINGG APRN

Provider Business Mailing Address
First Line	:	117 BROWNSTONE DR
Second Line	:
City	:	ENGLEWOOD
State	:	OH
Zip	:	45322-1707
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	117 BROWNSTONE DR
Second Line	:
City	:	ENGLEWOOD
State	:	OH
Zip	:	45322-1707
Country	:	US
Telephone Number	:	937-414-2305
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2024
Last Update Date	:	08/21/2024

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