Provider Demographics
NPI:1073137667
Name:WALDEN, HANNAH CHRISTINE
Entity Type:Individual
Prefix:MISS
First Name:HANNAH
Middle Name:CHRISTINE
Last Name:WALDEN
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 1:449 N WORTHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44510-1545
Mailing Address - Country:US
Mailing Address - Phone:330-787-7713
Mailing Address - Fax:330-787-7713
Practice Address - Street 1:449 N WORTHINGTON ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44510-1545
Practice Address - Country:US
Practice Address - Phone:330-787-7713
Practice Address - Fax:330-787-7713
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-30
Last Update Date:2020-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health