Healthcare Provider Details

I. General information

NPI: 1326964578
Provider Name (Legal Business Name): HANNAH MANER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 COLONIAL AVE SW
ROANOKE VA
24015-3204
US

IV. Provider business mailing address

1620 18TH ST SE
ROANOKE VA
24014-2645
US

V. Phone/Fax

Practice location:
  • Phone: 540-353-0165
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: