Provider Demographics
NPI:1578851838
Name:NIXON, HANNAH L (AUD CCCA FAAA)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:L
Last Name:NIXON
Suffix:
Gender:F
Credentials:AUD CCCA FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 ROWE DR STE B
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-7366
Mailing Address - Country:US
Mailing Address - Phone:256-571-8450
Mailing Address - Fax:256-840-4584
Practice Address - Street 1:55 ROWE DR STE B
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-7366
Practice Address - Country:US
Practice Address - Phone:256-571-8450
Practice Address - Fax:256-840-4584
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1086A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL137330Medicaid
AL102I648759Medicare UPIN