Healthcare Provider Details

I. General information

NPI: 1720931694
Provider Name (Legal Business Name): HANNAH GERTRUDE YURGENS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 S BELLE RIVER AVE APT 10
MARINE CITY MI
48039-3566
US

IV. Provider business mailing address

320 S BELLE RIVER AVE APT 10
MARINE CITY MI
48039-3566
US

V. Phone/Fax

Practice location:
  • Phone: 586-701-0284
  • Fax:
Mailing address:
  • Phone: 586-701-0284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: