Healthcare Provider Details

I. General information

NPI: 1912456161
Provider Name (Legal Business Name): HANNAH LEWIS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH HIRSCHFELD

II. Dates (important events)

Enumeration Date: 09/29/2016
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E UNIVERSITY ST
SILOAM SPRINGS AR
72761-2756
US

IV. Provider business mailing address

110 E UNIVERSITY ST
SILOAM SPRINGS AR
72761-2756
US

V. Phone/Fax

Practice location:
  • Phone: 479-220-1554
  • Fax:
Mailing address:
  • Phone: 479-220-1554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA004923
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP181312
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: