Provider Demographics
NPI:1093036071
Name:SANDERS, HANNAH JOANN (MD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:JOANN
Last Name:SANDERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:FELLERS
Other - Last Name:BENELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:AK
Mailing Address - Zip Code:99574-0160
Mailing Address - Country:US
Mailing Address - Phone:907-424-8200
Mailing Address - Fax:
Practice Address - Street 1:602 CHASE
Practice Address - Street 2:PO BOX 160
Practice Address - City:CORDOVA
Practice Address - State:AK
Practice Address - Zip Code:99574-0160
Practice Address - Country:US
Practice Address - Phone:907-424-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-14
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2012-0722208D00000X
WAMD60820844207Q00000X
NMCS00218341207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice