Provider Demographics
NPI:1518502285
Name:COCCIA, HANNAH RENEE (RN)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:RENEE
Last Name:COCCIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:RENEE
Other - Last Name:SCRUGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA, RN
Mailing Address - Street 1:3505 OAK PARK DR
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-9366
Mailing Address - Country:US
Mailing Address - Phone:586-915-5965
Mailing Address - Fax:
Practice Address - Street 1:5301 MCAULEY DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1051
Practice Address - Country:US
Practice Address - Phone:734-712-3456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-17
Last Update Date:2024-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN692593163W00000X
MI136215367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse