Provider Demographics
NPI:1508344375
Name:HANNIGER, KURT RONALD (APRN)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:RONALD
Last Name:HANNIGER
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 EMERALD ST UNIT K
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3660
Mailing Address - Country:US
Mailing Address - Phone:603-354-5484
Mailing Address - Fax:603-352-5199
Practice Address - Street 1:149 EMERALD ST UNIT K
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3660
Practice Address - Country:US
Practice Address - Phone:603-354-5484
Practice Address - Fax:603-352-5199
Is Sole Proprietor?:No
Enumeration Date:2018-08-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH065966-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily