Provider Demographics
NPI:1598065401
Name:CRAMER, HANNAH E (NP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:E
Last Name:CRAMER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 N TRIPHAMMER RD
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1082
Mailing Address - Country:US
Mailing Address - Phone:607-758-9977
Mailing Address - Fax:607-758-5420
Practice Address - Street 1:2333 N TRIPHAMMER RD
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1082
Practice Address - Country:US
Practice Address - Phone:607-758-9977
Practice Address - Fax:607-758-5420
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY421001363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1088OtherTOTAL CARE GROUP
NY2734852OtherMEDICAID GROUP
NY03308789Medicaid
NYAA1307OtherMEDICARE GROUP
NY03308789Medicaid