Provider Demographics
NPI:1093438939
Name:CAPPS, HANNAH (MHP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:CAPPS
Suffix:
Gender:F
Credentials:MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14179 N TOLLE LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:IL
Mailing Address - Zip Code:62864-8783
Mailing Address - Country:US
Mailing Address - Phone:618-246-0833
Mailing Address - Fax:
Practice Address - Street 1:14179 N TOLLE LN
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IL
Practice Address - Zip Code:62864-8783
Practice Address - Country:US
Practice Address - Phone:618-246-0833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator