Provider Demographics
NPI:1831794205
Name:HANNA, LINDSEY MARIE
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:MARIE
Last Name:HANNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:MARIE
Other - Last Name:HOSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:157 GREENBRIER AVE W
Mailing Address - Street 2:
Mailing Address - City:RAINELLE
Mailing Address - State:WV
Mailing Address - Zip Code:25962
Mailing Address - Country:US
Mailing Address - Phone:304-619-1691
Mailing Address - Fax:
Practice Address - Street 1:157 GREENBRIER AVE W
Practice Address - Street 2:
Practice Address - City:RAINELLE
Practice Address - State:WV
Practice Address - Zip Code:25962
Practice Address - Country:US
Practice Address - Phone:304-619-1691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant