Provider Demographics
NPI:1720426166
Name:CARLSEN, HANNAH L (DO)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:L
Last Name:CARLSEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:L
Other - Last Name:YAMADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:516 DIVISION ST STE 110
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-2381
Mailing Address - Country:US
Mailing Address - Phone:319-268-3550
Mailing Address - Fax:319-268-3855
Practice Address - Street 1:516 DIVISION ST STE 110
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-2381
Practice Address - Country:US
Practice Address - Phone:319-268-3550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADO-04743207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine