Healthcare Provider Details

I. General information

NPI: 1548080310
Provider Name (Legal Business Name): HANNAH SOLON MSN, APRN, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 LYONS AVE
NEWARK NJ
07112-2027
US

IV. Provider business mailing address

34 RARITAN RD
LINDEN NJ
07036-3645
US

V. Phone/Fax

Practice location:
  • Phone: 973-926-4430
  • Fax: 973-926-5658
Mailing address:
  • Phone: 908-583-8295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number26NJ15174700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ15174700
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number26NJ15174700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: