Healthcare Provider Details

I. General information

NPI: 1538814298
Provider Name (Legal Business Name): HANNAH PARENT FCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2022
Last Update Date: 02/21/2022
Certification Date: 02/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 MCGREGOR ST STE 201
MANCHESTER NH
03102-3733
US

IV. Provider business mailing address

88 MCGREGOR ST STE 201
MANCHESTER NH
03102-3733
US

V. Phone/Fax

Practice location:
  • Phone: 603-314-7595
  • Fax: 603-665-2420
Mailing address:
  • Phone: 603-314-7595
  • Fax: 603-665-2420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: