Provider Demographics
NPI:1679228449
Name:JOHNSON, HANNAH JOANNE
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:JOANNE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:J
Other - Last Name:STEELMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5740 MCCAULEY RD
Mailing Address - Street 2:
Mailing Address - City:ALGER
Mailing Address - State:MI
Mailing Address - Zip Code:48610-9661
Mailing Address - Country:US
Mailing Address - Phone:989-578-7637
Mailing Address - Fax:
Practice Address - Street 1:5740 MCCAULEY RD
Practice Address - Street 2:
Practice Address - City:ALGER
Practice Address - State:MI
Practice Address - Zip Code:48610-9661
Practice Address - Country:US
Practice Address - Phone:989-578-7637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-19
Last Update Date:2022-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care