Provider Demographics
NPI:1700538543
Name:SHUMAN, HANNAH MARIE (RN)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:SHUMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 JACK PRIMUS RD APT 1105
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29492-5003
Mailing Address - Country:US
Mailing Address - Phone:256-541-3336
Mailing Address - Fax:
Practice Address - Street 1:1030 JACK PRIMUS RD APT 1105
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29492-5003
Practice Address - Country:US
Practice Address - Phone:256-541-3336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC263198163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse