Provider Demographics
NPI:1851004352
Name:NORDBECK, HANNA MARIE
Entity Type:Individual
Prefix:MS
First Name:HANNA
Middle Name:MARIE
Last Name:NORDBECK
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 1:2283 KINNEY AVE NW
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:MI
Mailing Address - Zip Code:49534-1157
Mailing Address - Country:US
Mailing Address - Phone:616-773-9248
Mailing Address - Fax:
Practice Address - Street 1:2283 KINNEY AVE NW
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:MI
Practice Address - Zip Code:49534-1157
Practice Address - Country:US
Practice Address - Phone:616-773-9248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician