Provider Demographics
NPI:1750514055
Name:SOMENSATTO, HANNAH LOGIE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:LOGIE
Last Name:SOMENSATTO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 CROSSROAD LAKES DR
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-4034
Mailing Address - Country:US
Mailing Address - Phone:904-254-6589
Mailing Address - Fax:
Practice Address - Street 1:103B SOLANA RD
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-2231
Practice Address - Country:US
Practice Address - Phone:904-273-2717
Practice Address - Fax:904-273-0410
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9244082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily