Healthcare Provider Details

I. General information

NPI: 1508389685
Provider Name (Legal Business Name): HANNAH MORGAN SPRINGER BRISTOW CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. HANNAH MORGAN SPRINGER

II. Dates (important events)

Enumeration Date: 07/20/2017
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1665 WOODBROOKE DR
SALISBURY MD
21804-8502
US

IV. Provider business mailing address

PO BOX 1978
SALISBURY MD
21802-1978
US

V. Phone/Fax

Practice location:
  • Phone: 410-546-6650
  • Fax: 410-546-2656
Mailing address:
  • Phone: 410-749-1015
  • Fax: 410-749-0654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAC006582
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0050650
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: