Provider Demographics
NPI:1477924199
Name:STUTTS, HANNAH (APRN)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:STUTTS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03235-2026
Mailing Address - Country:US
Mailing Address - Phone:603-934-0177
Mailing Address - Fax:603-934-2805
Practice Address - Street 1:22 STRAFFORD ST
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-4701
Practice Address - Country:US
Practice Address - Phone:603-934-0177
Practice Address - Fax:603-934-2805
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH059802-23363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner