Provider Demographics
NPI:1346085313
Name:LYTTLE, HANNAH SARAH (FNP-C)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:SARAH
Last Name:LYTTLE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4204 SIX FORKS RD APT 3211
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6452
Mailing Address - Country:US
Mailing Address - Phone:804-432-6481
Mailing Address - Fax:
Practice Address - Street 1:107 W SAINT JOHN ST
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-4316
Practice Address - Country:US
Practice Address - Phone:252-823-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5020325363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily