Provider Demographics
NPI:1568220804
Name:NANNI, HANNAH JOLENE (RN)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:JOLENE
Last Name:NANNI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 MOORE RD
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-9851
Mailing Address - Country:US
Mailing Address - Phone:206-446-6922
Mailing Address - Fax:
Practice Address - Street 1:541 MOORE RD
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-9851
Practice Address - Country:US
Practice Address - Phone:206-446-6922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60671503163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health