Healthcare Provider Details

I. General information

NPI: 1124821483
Provider Name (Legal Business Name): HANNAH MYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 10/30/2026
Certification Date: 10/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W CITRUS ST
ALTAMONTE SPRINGS FL
32714-2502
US

IV. Provider business mailing address

480 LAKE KATHRYN CIR
CASSELBERRY FL
32707-3061
US

V. Phone/Fax

Practice location:
  • Phone: 321-972-9215
  • Fax: 689-263-7681
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11051899
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: