MEDICARE: HANNAH WHITT

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	163W00000X	Registered Nurse	1-183181	AL

General Provider Information

NPI Number	:	1417763103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH WHITT

Provider Business Mailing Address
First Line	:	3741 SIERRA DR
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35406-1445
Country	:	US
Telephone Number	:	256-613-3772
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 RICE MINE RD NE
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35406-2403
Country	:	US
Telephone Number	:	205-750-0022
Fax Number	:

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

Provider Enumeration Date	:	12/06/2024
Last Update Date	:	12/06/2024

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