Healthcare Provider Details

I. General information

NPI: 1427631795
Provider Name (Legal Business Name): AMY R HANNA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2021
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2565 S UNION AVE
ALLIANCE OH
44601-5058
US

IV. Provider business mailing address

4415 WARWICK DR N
CANFIELD OH
44406-9220
US

V. Phone/Fax

Practice location:
  • Phone: 330-821-4455
  • Fax:
Mailing address:
  • Phone: 330-429-3609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0033404
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.444017
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN.444017
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: