Healthcare Provider Details

I. General information

NPI: 1013717461
Provider Name (Legal Business Name): JUNE HO HAN RN MSN FNP-C BA ECON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 GOVERNOR WENTWORTH HWY
WOLFEBORO NH
03894-4617
US

IV. Provider business mailing address

80 ACADEMY DR
WOLFEBORO NH
03894-4115
US

V. Phone/Fax

Practice location:
  • Phone: 513-659-6430
  • Fax:
Mailing address:
  • Phone: 513-659-6430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number203951
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number113386-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: