Provider Demographics
NPI:1558793570
Name:MACINTYRE, HANNAH H (NURSE-MIDWIFE)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:H
Last Name:MACINTYRE
Suffix:
Gender:F
Credentials:NURSE-MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-337-4290
Mailing Address - Fax:717-337-4295
Practice Address - Street 1:455 S WASHINGTON ST
Practice Address - Street 2:SUITE 25
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2516
Practice Address - Country:US
Practice Address - Phone:717-337-4290
Practice Address - Fax:717-337-4295
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010314367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA306414FLTMedicare PIN