Provider Demographics
NPI:1720320625
Name:HANNAH, ALLISON ELIZABETH (CNP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:ELIZABETH
Last Name:HANNAH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:ELIZABETH
Other - Last Name:BULGRIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:4417 PLYMOUTH ROCK CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1595
Mailing Address - Country:US
Mailing Address - Phone:614-270-6868
Mailing Address - Fax:
Practice Address - Street 1:6425 POST RD STE 102
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-1347
Practice Address - Country:US
Practice Address - Phone:614-336-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14355-NP363LA2200X
OHAPRN.CNP.14355363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health