Provider Demographics
NPI:1376228627
Name:GASKIN, HANNA RENEE
Entity Type:Individual
Prefix:
First Name:HANNA
Middle Name:RENEE
Last Name:GASKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3526 NORTHWAY DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7925
Mailing Address - Country:US
Mailing Address - Phone:443-299-2826
Mailing Address - Fax:
Practice Address - Street 1:12 MEDSTAR BLVD STE 225
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-1824
Practice Address - Country:US
Practice Address - Phone:667-201-5774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program