Provider Demographics
NPI:1851891030
Name:ROBERTS, HANNAH CHRISTINE (APRN, FNP-C, ENP-C)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:CHRISTINE
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:APRN, FNP-C, ENP-C
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:CHRISTINE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP-C, ENP-C
Mailing Address - Street 1:2229 SW 17TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-3534
Mailing Address - Country:US
Mailing Address - Phone:954-802-1709
Mailing Address - Fax:
Practice Address - Street 1:8270 COLLEGE PKWY
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-4102
Practice Address - Country:US
Practice Address - Phone:239-322-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-14
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277.001028363LF0000X
VA0024181696363LF0000X
MARN2365651363LF0000X
NV836333363LF0000X
IL277001028363LF0000X
AZ251457363LF0000X
FL9375269363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF400480488OtherMEDICARE PTAN
ILF400480490OtherMEDICARE PTAN
ILF400480490OtherMEDICARE PTAN