Provider Demographics
NPI:1932644747
Name:BURKHOLDER, HANNAH (DNP, CRNP)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:BURKHOLDER
Suffix:
Gender:F
Credentials:DNP, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 STRATHMORE CT
Mailing Address - Street 2:
Mailing Address - City:SEVEN FIELDS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-8008
Mailing Address - Country:US
Mailing Address - Phone:814-553-0547
Mailing Address - Fax:412-325-2536
Practice Address - Street 1:2403 SIDNEY ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2167
Practice Address - Country:US
Practice Address - Phone:124-481-1644
Practice Address - Fax:412-432-5714
Is Sole Proprietor?:No
Enumeration Date:2017-01-03
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016943363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
13957697OtherCAQH
PA103351316Medicaid