Provider Demographics
NPI:1194372003
Name:HANDY, HANNAH K
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:K
Last Name:HANDY
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:HANNAH
Other - Middle Name:K
Other - Last Name:AXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1028 E CHANDLER ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74801-5310
Mailing Address - Country:US
Mailing Address - Phone:405-249-4247
Mailing Address - Fax:
Practice Address - Street 1:101 N UNION AVE
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74801-7067
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator