Provider Demographics
NPI:1275069924
Name:CLINE, HANNAH SUE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:SUE
Last Name:CLINE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MINUTE CLINIC #7396
Mailing Address - Street 2:1010 HIGHWAY 17 N
Mailing Address - City:NORTH MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29582-2806
Mailing Address - Country:US
Mailing Address - Phone:843-249-1451
Mailing Address - Fax:
Practice Address - Street 1:MINUTE CLINIC #7396
Practice Address - Street 2:1010 HIGHWAY 17 N
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-2806
Practice Address - Country:US
Practice Address - Phone:843-249-1451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN83400-FNP-BC363LF0000X
SC22391363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily