Provider Demographics
NPI:1316509474
Name:FERRIE, HANNAH WEBSTER
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:WEBSTER
Last Name:FERRIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:464 NE EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-4939
Mailing Address - Country:US
Mailing Address - Phone:406-670-0956
Mailing Address - Fax:
Practice Address - Street 1:2275 NE DOCTORS DR STE 3
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6324
Practice Address - Country:US
Practice Address - Phone:541-706-6700
Practice Address - Fax:541-706-5996
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201904963NP-PP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner