Provider Demographics
NPI:1699379354
Name:GAEBE, HANNAH MADISON
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MADISON
Last Name:GAEBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6999 SUMMIT LAKE DR UNIT 3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-2604
Mailing Address - Country:US
Mailing Address - Phone:513-376-1522
Mailing Address - Fax:
Practice Address - Street 1:7152 VAIL CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-4302
Practice Address - Country:US
Practice Address - Phone:513-702-2372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker