Provider Demographics
NPI:1417503921
Name:ECKBERG, HANNAH N (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:N
Last Name:ECKBERG
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:N
Other - Last Name:MUCKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 80690
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-0690
Mailing Address - Country:US
Mailing Address - Phone:330-363-7444
Mailing Address - Fax:330-363-7770
Practice Address - Street 1:855 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:HARTVILLE
Practice Address - State:OH
Practice Address - Zip Code:44632-7600
Practice Address - Country:US
Practice Address - Phone:330-857-3148
Practice Address - Fax:330-387-3152
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024712363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily