Provider Demographics
NPI:1548419872
Name:ALLEN, HANNAH ELIZABETH (LPN)
Entity Type:Individual
Prefix:MISS
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15789 NYS ROUTE 178 APT 2
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:NY
Mailing Address - Zip Code:13605-2102
Mailing Address - Country:US
Mailing Address - Phone:315-778-9766
Mailing Address - Fax:
Practice Address - Street 1:15789 NYS ROUTE 178 APT 2
Practice Address - Street 2:
Practice Address - City:ADAMS
Practice Address - State:NY
Practice Address - Zip Code:13605-2102
Practice Address - Country:US
Practice Address - Phone:315-778-9766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287079-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse