Healthcare Provider Details

I. General information

NPI: 1861397978
Provider Name (Legal Business Name): HANNAH MARLEE VINCENT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 N COUNTY ROAD 25A
TROY OH
45373-1337
US

IV. Provider business mailing address

106 S MONTGOMERY ST UNIT 7
UNION OH
45322-3337
US

V. Phone/Fax

Practice location:
  • Phone: 304-373-4121
  • Fax:
Mailing address:
  • Phone: 304-373-4121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0043599
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: