Provider Demographics
NPI:1285248765
Name:ABA, HANNAH A (RN)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:A
Last Name:ABA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 E 22ND ST STE 217
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-6176
Mailing Address - Country:US
Mailing Address - Phone:630-519-4744
Mailing Address - Fax:
Practice Address - Street 1:450 E 22ND ST STE 217
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-6176
Practice Address - Country:US
Practice Address - Phone:630-519-4744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID041361167163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse