Provider Demographics
NPI:1144803511
Name:CACKOVIC, HANNAH ELIZABETH (APRN-CNM)
Entity Type:Individual
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First Name:HANNAH
Middle Name:ELIZABETH
Last Name:CACKOVIC
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Gender:F
Credentials:APRN-CNM
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Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-3069
Mailing Address - Fax:614-685-0256
Practice Address - Street 1:160 W WILSON BRIDGE RD STE 2101
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2688
Practice Address - Country:US
Practice Address - Phone:614-293-3069
Practice Address - Fax:614-685-0256
Is Sole Proprietor?:No
Enumeration Date:2021-05-03
Last Update Date:2024-04-04
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNM.0019469367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife