Provider Demographics
NPI:1790560498
Name:WOMER, HANNAH AMELIA (AGACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:AMELIA
Last Name:WOMER
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:AMELIA
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21620 W 53RD TER
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-9776
Mailing Address - Country:US
Mailing Address - Phone:913-375-3802
Mailing Address - Fax:
Practice Address - Street 1:15310 S MARION ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-5314
Practice Address - Country:US
Practice Address - Phone:913-324-8588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-80886-041363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care