Hannah, Karen Marie

Hannah, Karen Marie is an individual health care provider with primary practice located at 5060 N 19Th Ave Ste 102 , Phoenix AZ 85015-3211. She recently has 5 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pain Medicine, Other Service Providers / Prevention Professional, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hannah, Karen Marie can be contacted via phone (602) 296-5540.

Contact Information

Primary practice address
5060 N 19Th Ave Ste 102 Phoenix AZ 85015-3211
Phone: (602) 296-5540
Fax: (602) 296-5442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X AP3208 Arizona
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X AP3208 Arizona
Other Service Providers / Prevention Professional 405300000X AP3208 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X TAP3208 Arizona

Profile Details

NPI number 1043465206
LBN Legal business name Hannah, Karen Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2008
Last updated Jun 24th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043465206 NPPES
Arizona MEDICAID 490223

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