Provider Demographics
NPI:1285056416
Name:FRALEY, HANNAH E (PHD, APRN, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:E
Last Name:FRALEY
Suffix:
Gender:
Credentials:PHD, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31566 RAILROAD CANYON RD STE 2
Mailing Address - Street 2:PMB 191
Mailing Address - City:CANYON LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:92587-9446
Mailing Address - Country:US
Mailing Address - Phone:951-387-0782
Mailing Address - Fax:951-639-6087
Practice Address - Street 1:23283 CANYON LAKE DR S
Practice Address - Street 2:
Practice Address - City:CANYON LAKE
Practice Address - State:CA
Practice Address - Zip Code:92587-7598
Practice Address - Country:US
Practice Address - Phone:951-387-0782
Practice Address - Fax:951-639-6087
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-07
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV865391363LP0808X
CA95034067363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health