Provider Demographics
NPI:1477027936
Name:DEQUINA, HANNAH CRISTINA (CRNP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:CRISTINA
Last Name:DEQUINA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21922-0309
Mailing Address - Country:US
Mailing Address - Phone:410-398-8899
Mailing Address - Fax:410-398-1477
Practice Address - Street 1:215 NORTH ST STE A
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-5505
Practice Address - Country:US
Practice Address - Phone:410-398-8899
Practice Address - Fax:410-398-1477
Is Sole Proprietor?:No
Enumeration Date:2019-01-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR178394363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR178394OtherMD BOARD OF NURSING
TXF12180242OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS