Healthcare Provider Details

I. General information

NPI: 1245157635
Provider Name (Legal Business Name): HANNAH ROSE ENDERS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1438 WESTERN AVE
ALBANY NY
12203-3421
US

IV. Provider business mailing address

345 BARTON HILL RD
DELANSON NY
12053-2703
US

V. Phone/Fax

Practice location:
  • Phone: 518-649-9986
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number359899
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: