Riesel, Hannah Rose

Riesel, Hannah Rose is an individual health care provider with primary practice located at 60 Island St Ste 94 , Lawrence MA 01840-1835. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Riesel, Hannah Rose can be contacted via phone (315) 868-9141.

Contact Information

Primary practice address
60 Island St Ste 94 Lawrence MA 01840-1835
Phone: (315) 868-9141
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2311616 Massachusetts

Profile Details

NPI number 1801423355
LBN Legal business name Riesel, Hannah Rose
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2020
Last updated Feb 16th, 2022 - about 4 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 1801423355 NPPES
Massachusetts MEDICAID 110162908A

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