Healthcare Provider Details

I. General information

NPI: 1689581803
Provider Name (Legal Business Name): HANNAH CATHERINE FALK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PHYSICAL ADDRESS:1400 SPRING GARDEN STREET
GREENSBORO NC
27412-0001
US

IV. Provider business mailing address

650 W NORTH ST APT 634
RALEIGH NC
27603-7141
US

V. Phone/Fax

Practice location:
  • Phone: 919-395-2905
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number354674
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: