Provider Demographics
NPI:1669844437
Name:HANNA, KIRSTYN SHEA (CNP)
Entity Type:Individual
Prefix:
First Name:KIRSTYN
Middle Name:SHEA
Last Name:HANNA
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8251 PINE RD
Mailing Address - Street 2:212
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2191
Mailing Address - Country:US
Mailing Address - Phone:513-841-0222
Mailing Address - Fax:513-841-0638
Practice Address - Street 1:8251 PINE RD
Practice Address - Street 2:212
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2191
Practice Address - Country:US
Practice Address - Phone:513-841-0222
Practice Address - Fax:513-841-0638
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.18046-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily