Healthcare Provider Details

I. General information

NPI: 1841607447
Provider Name (Legal Business Name): HANNAH WOYAK NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH BLONDKE NP-C

II. Dates (important events)

Enumeration Date: 07/15/2014
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 RESEARCH CENTER DR STE A
BLACKSBURG VA
24060-6325
US

IV. Provider business mailing address

2013 JEFFERSON ST SW FL 2
ROANOKE VA
24014-2419
US

V. Phone/Fax

Practice location:
  • Phone: 540-381-5291
  • Fax: 540-381-7857
Mailing address:
  • Phone: 540-982-0237
  • Fax: 540-982-2719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704272393
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024179187
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: