Provider Demographics
NPI:1417994153
Name:HANLON, JOHN F JR (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:F
Last Name:HANLON
Suffix:JR
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 TOWHEE DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-3339
Mailing Address - Country:US
Mailing Address - Phone:603-595-9422
Mailing Address - Fax:
Practice Address - Street 1:16 TOWHEE DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-3339
Practice Address - Country:US
Practice Address - Phone:603-595-9422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA199724367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANA0716Medicare ID - Type UnspecifiedMASSACHUSETTS MEDICARE