Provider Demographics
NPI:1104589159
Name:ESCAMILLA, HANNAH DOVIE (CRNP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:DOVIE
Last Name:ESCAMILLA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 MARIETTA AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2104
Mailing Address - Country:US
Mailing Address - Phone:717-898-2356
Mailing Address - Fax:717-898-3872
Practice Address - Street 1:DR. DAVID J SILVERSTIEN ASSOCIATES
Practice Address - Street 2:2920 MARIETTA AVE
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2104
Practice Address - Country:US
Practice Address - Phone:717-898-2356
Practice Address - Fax:717-898-3872
Is Sole Proprietor?:No
Enumeration Date:2021-10-18
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022833363LF0000X
PASP042773760001363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1042773760001Medicaid