MEDICARE: HANNAH MARIE FRIEL MALONEY FNP-C

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	RN233965	GA

General Provider Information

NPI Number	:	1780264473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH MARIE FRIEL MALONEY FNP-C

Provider Business Mailing Address
First Line	:	308 ALDENE CT
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-2415
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 STONEBRIDGE PKWY STE 430
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30189-3769
Country	:	US
Telephone Number	:	678-210-6515
Fax Number	:

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

Provider Enumeration Date	:	04/08/2021
Last Update Date	:	01/02/2026

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