Provider Demographics
NPI:1093102246
Name:RAILA, HANNAH ELIZABETH (MS)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:RAILA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 HUMPHREY ST
Mailing Address - Street 2:APT 2
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-3935
Mailing Address - Country:US
Mailing Address - Phone:781-526-6022
Mailing Address - Fax:
Practice Address - Street 1:294 HUMPHREY ST
Practice Address - Street 2:APT 2
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-3935
Practice Address - Country:US
Practice Address - Phone:781-526-6022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program