Provider Demographics
NPI:1629567557
Name:HANNA-RONALD, CHRISTINE KELLY (PMHNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:KELLY
Last Name:HANNA-RONALD
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 WYNDOM CIR
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-2516
Mailing Address - Country:US
Mailing Address - Phone:443-207-2618
Mailing Address - Fax:
Practice Address - Street 1:24 WYNDOM CIR
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-2516
Practice Address - Country:US
Practice Address - Phone:443-207-2618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL8-0000148363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health