Provider Demographics
NPI:1124687025
Name:SMITH, HANNAH BOOKWALTER (APRNCNP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:BOOKWALTER
Last Name:SMITH
Suffix:
Gender:F
Credentials:APRNCNP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:BOOKWALTER
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5450 FRANTZ RD STE 360
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4141
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:210 SHARON RD STE D
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1498
Practice Address - Country:US
Practice Address - Phone:740-420-8422
Practice Address - Fax:740-420-6270
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024706363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner