Basic Information
Provider Information
NPI: 1821716440
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KOHLER
FirstName: HANNAH
MiddleName: BRIANN
NamePrefix: MRS.
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1905 SKYLAND BLVD
Address2:  
City: WINNEMUCCA
State: NV
PostalCode: 894453958
CountryCode: US
TelephoneNumber: 7753041789
FaxNumber:  
Practice Location
Address1: 118 E HASKELL ST
Address2:  
City: WINNEMUCCA
State: NV
PostalCode: 894453299
CountryCode: US
TelephoneNumber: 7756235222
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/19/2022
LastUpdateDate: 10/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100X856236NVN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363L00000X856236NVY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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