Provider Demographics
NPI:1417460718
Name:BOLINGER, HANNAH (CRNP, IBCLC)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:
Last Name:BOLINGER
Suffix:
Gender:F
Credentials:CRNP, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7876 W RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-3824
Mailing Address - Country:US
Mailing Address - Phone:410-701-0289
Mailing Address - Fax:
Practice Address - Street 1:7876 W RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-3824
Practice Address - Country:US
Practice Address - Phone:410-701-0289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-08
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR165730163WL0100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant