Healthcare Provider Details

I. General information

NPI: 1407683790
Provider Name (Legal Business Name): HANNAH WEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

442 W HIGH ST STE 3
BRYAN OH
43506-1681
US

IV. Provider business mailing address

6965 CUMBERLAND GAP PKWY
HARROGATE TN
37752-8245
US

V. Phone/Fax

Practice location:
  • Phone: 419-636-4517
  • Fax: 419-636-6438
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.010340RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: