Provider Demographics
NPI:1366116733
Name:TOLAR, HANNAH ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:TOLAR
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 1:5408 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MALONE
Mailing Address - State:FL
Mailing Address - Zip Code:32445-3128
Mailing Address - Country:US
Mailing Address - Phone:689-262-6576
Mailing Address - Fax:689-262-6575
Practice Address - Street 1:5408 10TH ST
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:FL
Practice Address - Zip Code:32445-3128
Practice Address - Country:US
Practice Address - Phone:689-262-6576
Practice Address - Fax:689-262-6575
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11014761363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily