Provider Demographics
NPI:1679567978
Name:MARRETT, HANNA (FNP)
Entity Type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:MARRETT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2212
Mailing Address - Country:US
Mailing Address - Phone:252-637-4673
Mailing Address - Fax:888-340-7392
Practice Address - Street 1:1304 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2212
Practice Address - Country:US
Practice Address - Phone:252-637-4673
Practice Address - Fax:888-340-7392
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200755363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8936266Medicaid
NC36266OtherBLUE CROSS
NC8936266Medicaid
S48093Medicare UPIN
NC500003837Medicare PIN