Provider Demographics
NPI:1770338873
Name:GUNN, HANNA MICHELE
Entity type:Individual
Prefix:MS
First Name:HANNA
Middle Name:MICHELE
Last Name:GUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10409 LONG MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-4024
Mailing Address - Country:US
Mailing Address - Phone:405-886-0594
Mailing Address - Fax:
Practice Address - Street 1:901 S BRYANT AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-5764
Practice Address - Country:US
Practice Address - Phone:405-886-0594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist