Provider Demographics
NPI:1073169546
Name:SCHAMBURG, HANNAH ELIZABETH (PMHNP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:SCHAMBURG
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ELIZABETH
Other - Last Name:MELCHIORS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 E VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-5530
Mailing Address - Country:US
Mailing Address - Phone:812-777-0127
Mailing Address - Fax:949-703-7407
Practice Address - Street 1:220 E VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-5530
Practice Address - Country:US
Practice Address - Phone:812-777-0127
Practice Address - Fax:949-703-7407
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-12
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71009451A363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner