MEDICARE: DR. HANNAH RAE VADEN AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	3936	MN

General Provider Information

NPI Number	:	1225712292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HANNAH RAE VADEN AUD

Provider Business Mailing Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-0001
Country	:	US
Telephone Number	:	507-284-2511
Fax Number	:

Provider Business Practice Location Address
First Line	:	1285 NININGER RD
Second Line	:
City	:	HASTINGS
State	:	MN
Zip	:	55033-1086
Country	:	US
Telephone Number	:	651-480-4200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2023
Last Update Date	:	06/30/2026

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