Provider Demographics
NPI:1104513084
Name:MUSE, HANNAH (DNP, APRN-CNP, FNP-C)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:MUSE
Suffix:
Gender:F
Credentials:DNP, APRN-CNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8706 ROLLING ACRES TRL
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS RANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78015-4015
Mailing Address - Country:US
Mailing Address - Phone:210-267-7576
Mailing Address - Fax:
Practice Address - Street 1:4316 JAMES CASEY ST STE C
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1157
Practice Address - Country:US
Practice Address - Phone:512-381-0170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1113062363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty