Provider Demographics
NPI:1003307471
Name:HADLEY, KIRSI JOHANNA (MSN, RN, CPNP-PC)
Entity Type:Individual
Prefix:
First Name:KIRSI
Middle Name:JOHANNA
Last Name:HADLEY
Suffix:
Gender:F
Credentials:MSN, RN, CPNP-PC
Other - Prefix:
Other - First Name:KIRSI
Other - Middle Name:JOHANNA
Other - Last Name:SAVONEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:1312 STOCKTON RD
Mailing Address - Street 2:
Mailing Address - City:JOPPA
Mailing Address - State:MD
Mailing Address - Zip Code:21085-1410
Mailing Address - Country:US
Mailing Address - Phone:443-616-1965
Mailing Address - Fax:
Practice Address - Street 1:1312 STOCKTON RD
Practice Address - Street 2:
Practice Address - City:JOPPA
Practice Address - State:MD
Practice Address - Zip Code:21085-1410
Practice Address - Country:US
Practice Address - Phone:443-616-1965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR191846363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics