Healthcare Provider Details
I. General information
NPI: 1801658380
Provider Name (Legal Business Name): MARIIA HNES
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/29/2024
Last Update Date: 01/29/2024
Certification Date: 01/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
106 STARRET ST STE 100
LANCASTER OH
43130-3993
US
IV. Provider business mailing address
113 WELSH ST
LANCASTER OH
43130-3624
US
V. Phone/Fax
- Phone: 740-687-0042
- Fax: 740-687-6677
- Phone: 740-407-2243
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: