Basic Information
Provider Information
NPI: 1801461280
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HULL
FirstName: HANNAH
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: PNP-PC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 231 EUCLID AVE
Address2:  
City: LORAIN
State: OH
PostalCode: 440522551
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3814 JAMES CT
Address2:  
City: ZANESVILLE
State: OH
PostalCode: 437010965
CountryCode: US
TelephoneNumber: 7404547119
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/26/2021
LastUpdateDate: 05/26/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/26/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP2300XAPRN.CNP.0026976OHN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
363LP0200XAPRN.CNP.0026976OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


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