Healthcare Provider Details

I. General information

NPI: 1225777006
Provider Name (Legal Business Name): HANNAH CLAIRE WYATT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH CLAIRE WHEELER DO

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-9800
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-214-9585
  • Fax: 570-214-9519
Mailing address:
  • Phone: 570-214-9585
  • Fax: 570-214-9519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number5151015720
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberOS026032
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: