Provider Demographics
NPI:1477359131
Name:HANLON, MARIAN ELIZABETH PLANTE
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:ELIZABETH PLANTE
Last Name:HANLON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14043 IMAGE LAKE CT
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1824
Mailing Address - Country:US
Mailing Address - Phone:239-410-6711
Mailing Address - Fax:
Practice Address - Street 1:14043 IMAGE LAKE CT
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-1824
Practice Address - Country:US
Practice Address - Phone:239-410-6711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program