MEDICARE: MRS. HANNAH GILL CRNP

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	363LF0000X	Family Nurse Practitioner	SP026443	PA

General Provider Information

NPI Number	:	1598481327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HANNAH GILL CRNP

Provider Business Mailing Address
First Line	:	218 PEARL DR
Second Line	:
City	:	LOWER BURRELL
State	:	PA
Zip	:	15068-3219
Country	:	US
Telephone Number	:	724-971-8019
Fax Number	:

Provider Business Practice Location Address
First Line	:	10926 STATE HIGHWAY 18
Second Line	:
City	:	CONNEAUT LAKE
State	:	PA
Zip	:	16316-3526
Country	:	US
Telephone Number	:	814-382-0446
Fax Number	:	814-382-7386

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

Provider Enumeration Date	:	10/13/2022
Last Update Date	:	07/30/2025

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