Provider Demographics
NPI:1407570898
Name:DURODOLA, HANNAH NICOLE (C-PNP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:NICOLE
Last Name:DURODOLA
Suffix:
Gender:F
Credentials:C-PNP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:NICOLE
Other - Last Name:STARKSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2821 W AVENUE K12 APT 118
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-1175
Mailing Address - Country:US
Mailing Address - Phone:661-361-4321
Mailing Address - Fax:
Practice Address - Street 1:1037 W AVENUE N STE 202
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-2002
Practice Address - Country:US
Practice Address - Phone:661-266-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA852599163W00000X
CA95018020363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse