Provider Demographics
NPI:1275948499
Name:KREILING, HANNAH (CRNA)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:KREILING
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:MULRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 MEDICAL CENTER BOULEVARD
Mailing Address - Street 2:POB 1 SUITE 305
Mailing Address - City:UPLAND
Mailing Address - State:PA
Mailing Address - Zip Code:19013
Mailing Address - Country:US
Mailing Address - Phone:610-874-6448
Mailing Address - Fax:
Practice Address - Street 1:30 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-3955
Practice Address - Country:US
Practice Address - Phone:610-874-6448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338903363LF0000X
PA612825207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03892977Medicaid
NYJ400160476Medicare PIN