Provider Demographics
NPI:1912568833
Name:STRATER, HANNAH (PMH NP)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:STRATER
Suffix:
Gender:F
Credentials:PMH NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 W 169TH ST APT 6D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3900
Mailing Address - Country:US
Mailing Address - Phone:646-247-7595
Mailing Address - Fax:
Practice Address - Street 1:565 W 169TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3906
Practice Address - Country:US
Practice Address - Phone:646-247-7595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY402673363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health