Provider Demographics
NPI:1487192308
Name:HARRIS-AUSTIN, HANNAH (APRN)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:
Last Name:HARRIS-AUSTIN
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 1:494 REDRUTH DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-1244
Mailing Address - Country:US
Mailing Address - Phone:702-506-6629
Mailing Address - Fax:
Practice Address - Street 1:494 REDRUTH DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-1244
Practice Address - Country:US
Practice Address - Phone:702-506-6629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-11
Last Update Date:2017-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVTAPRN701534363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health