Provider Demographics
NPI:1275188229
Name:HANNA, EMILY RITA (APRN-FNP-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:RITA
Last Name:HANNA
Suffix:
Gender:F
Credentials:APRN-FNP-C
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:RITA
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4103 GARDEN SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1365
Mailing Address - Country:US
Mailing Address - Phone:432-934-1414
Mailing Address - Fax:
Practice Address - Street 1:201 KINGWOOD MEDICAL DR STE A350
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-6026
Practice Address - Country:US
Practice Address - Phone:815-407-2462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1165943208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine