Provider Demographics
NPI:1083814834
Name:HANNAH, YVETTE M (IS ADMINISTRATOR II)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:M
Last Name:HANNAH
Suffix:
Gender:F
Credentials:IS ADMINISTRATOR II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 HOWARD ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2638
Mailing Address - Country:US
Mailing Address - Phone:415-255-3549
Mailing Address - Fax:415-255-3564
Practice Address - Street 1:1380 HOWARD ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2638
Practice Address - Country:US
Practice Address - Phone:415-255-3549
Practice Address - Fax:415-255-3564
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information
Provider Identifiers
StateIdentifier IDID TypeIssuer
11895OtherSFGH INTERNAL USE ONLY