Provider Demographics
NPI:1720553894
Name:HANAGRIFF, LUDWENA ROMONA
Entity Type:Individual
Prefix:
First Name:LUDWENA
Middle Name:ROMONA
Last Name:HANAGRIFF
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LUDWENA
Other - Middle Name:RAMONA
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:406 WELFORD LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77562-4509
Mailing Address - Country:US
Mailing Address - Phone:832-338-6382
Mailing Address - Fax:
Practice Address - Street 1:406 WELFORD LN
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:TX
Practice Address - Zip Code:77562-4509
Practice Address - Country:US
Practice Address - Phone:832-338-6382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX132217164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse