Provider Demographics
NPI:1407454226
Name:HANNAH, JULIANNE M
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:M
Last Name:HANNAH
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 1:1738 PAMONA DR APT 101E
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:OH
Mailing Address - Zip Code:44041-9127
Mailing Address - Country:US
Mailing Address - Phone:716-462-7205
Mailing Address - Fax:
Practice Address - Street 1:1738 PAMONA DR APT 101E
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:OH
Practice Address - Zip Code:44041-9127
Practice Address - Country:US
Practice Address - Phone:716-462-7205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker