Provider Demographics
NPI:1487273769
Name:BYNUM, HANNAH BETH
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:BETH
Last Name:BYNUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:BETH
Other - Last Name:PARADIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5122 E 89TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-3564
Mailing Address - Country:US
Mailing Address - Phone:918-810-5353
Mailing Address - Fax:
Practice Address - Street 1:5122 E 89TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-3564
Practice Address - Country:US
Practice Address - Phone:918-810-5353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program