Provider Demographics
NPI:1437741097
Name:AAKJAR, HANNAH MAE (RN)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MAE
Last Name:AAKJAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:MAE
Other - Last Name:BARDES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:61 KENT ST
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-2039
Mailing Address - Country:US
Mailing Address - Phone:914-471-0497
Mailing Address - Fax:
Practice Address - Street 1:101 MATTEAWAN RD
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-1571
Practice Address - Country:US
Practice Address - Phone:845-849-5059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY618084163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse