Provider Demographics
NPI:1497455794
Name:HANAVAN, ERINN ELIZABETH
Entity Type:Individual
Prefix:
First Name:ERINN
Middle Name:ELIZABETH
Last Name:HANAVAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3944 HUTCHINSON RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-2216
Mailing Address - Country:US
Mailing Address - Phone:513-315-5427
Mailing Address - Fax:
Practice Address - Street 1:3944 HUTCHINSON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-2216
Practice Address - Country:US
Practice Address - Phone:513-315-5427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator