Provider Demographics
NPI:1073883070
Name:HANNA, DONNA (ND)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:HANNA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26381 CROWN VALLEY PKWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6368
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ST. ELIAS
Practice Address - Street 2:
Practice Address - City:JOUNIEH
Practice Address - State:000
Practice Address - Zip Code:000
Practice Address - Country:LB
Practice Address - Phone:010-991-4662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60262528175F00000X
CAN610175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath