Provider Demographics
NPI:1912974593
Name:HAHN, BARBARA ANN (CRNA)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:HAHN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 SHEFFIELD CT
Mailing Address - Street 2:
Mailing Address - City:KINGSLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31548-4063
Mailing Address - Country:US
Mailing Address - Phone:912-510-9706
Mailing Address - Fax:912-510-9706
Practice Address - Street 1:53 SHEFFIELD CT
Practice Address - Street 2:
Practice Address - City:KINGSLAND
Practice Address - State:GA
Practice Address - Zip Code:31548-4063
Practice Address - Country:US
Practice Address - Phone:912-510-9706
Practice Address - Fax:912-510-9706
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN154318367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000893351DMedicaid
GA000893351DMedicaid
GAS19623Medicare UPIN