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NPI Code Detail

MEDICARE: JENNIFER A HANRAHAN D.O.

MEDICARE: JENNIFER A HANRAHAN D.O.
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
1207RI0200XInfectious Disease Physician0102207267VA

General Provider Information

NPI Number : 1528002656
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER A HANRAHAN D.O.
Provider Business Mailing Address
First Line : 1448 10TH AVE STE 304
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-3579
Country : US
Telephone Number : 304-691-6381
Fax Number : 304-691-8591
Provider Business Practice Location Address
First Line : 1249 15TH ST STE 3000
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-3663
Country : US
Telephone Number : 304-691-1000
Fax Number : 304-691-1693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 09/09/2025

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