Basic Information
| Provider Information | |||||||||
| NPI: | 1740891548 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FILIPPELLI | ||||||||
| FirstName: | HANNAH | ||||||||
| MiddleName: | ROSE | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3725 SPRUCE RD | ||||||||
| Address2: | |||||||||
| City: | PORT REPUBLIC | ||||||||
| State: | MD | ||||||||
| PostalCode: | 206762315 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4424043700 | ||||||||
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| Practice Location | |||||||||
| Address1: | 130 HOSPITAL RD STE 101 | ||||||||
| Address2: | |||||||||
| City: | PRINCE FREDERICK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 206784029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105352500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2020 | ||||||||
| LastUpdateDate: | 08/14/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | R218474 | MD | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.