Healthcare Provider Details

I. General information

NPI: 1548918154
Provider Name (Legal Business Name): HANNAH CAROLINE POWER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2022
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11333 CORNELL PARK DR # 200
BLUE ASH OH
45242-1813
US

IV. Provider business mailing address

11333 CORNELL PARK DR # 200
BLUE ASH OH
45242-1813
US

V. Phone/Fax

Practice location:
  • Phone: 513-751-6667
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9849
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.009612RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: