Provider Demographics
NPI:1770120875
Name:HASELEY, HANNAH EDELMAN (CNP)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:EDELMAN
Last Name:HASELEY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MS
Other - First Name:HANNAH
Other - Middle Name:ELISE
Other - Last Name:EDELMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:6650 DUNEDEN AVE
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-4056
Mailing Address - Country:US
Mailing Address - Phone:440-781-8746
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-08
Last Update Date:2019-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025819363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily