Provider Demographics
NPI:1649793381
Name:CARRIGAN, HANNAH (CPM, LM)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:CARRIGAN
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 STEVE DR
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-2118
Mailing Address - Country:US
Mailing Address - Phone:682-561-4551
Mailing Address - Fax:817-280-9962
Practice Address - Street 1:1726 CHADWICK CT STE 200
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3318
Practice Address - Country:US
Practice Address - Phone:682-561-4551
Practice Address - Fax:817-280-9962
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99298176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife