Provider Demographics
NPI:1003401365
Name:DEMBY, HANNAH E
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:E
Last Name:DEMBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 STOCKMILL RD # 1
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2561
Mailing Address - Country:US
Mailing Address - Phone:240-704-4951
Mailing Address - Fax:410-946-2010
Practice Address - Street 1:1 STOCKMILL RD # 1
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2561
Practice Address - Country:US
Practice Address - Phone:240-704-4951
Practice Address - Fax:410-946-2010
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00107753376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide