MEDICARE: SIDRA HANNA

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	376K00000X	Nurse's Aide	616320	NC

General Provider Information

NPI Number	:	1497682611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIDRA HANNA

Provider Business Mailing Address
First Line	:	10025 ROSE BROOK LN APT 107
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-3385
Country	:	US
Telephone Number	:	704-806-0443
Fax Number	:

Provider Business Practice Location Address
First Line	:	10025 ROSE BROOK LN APT 107
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-3385
Country	:	US
Telephone Number	:	704-806-0443
Fax Number	:

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

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ SIDRA HANNA ” Practice Location

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