Provider Demographics
NPI:1528640968
Name:DARGIE, HANNAH NICOLE
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:NICOLE
Last Name:DARGIE
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 1:230 INGALLS RD
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:MA
Mailing Address - Zip Code:01225-9571
Mailing Address - Country:US
Mailing Address - Phone:413-822-7518
Mailing Address - Fax:
Practice Address - Street 1:230 INGALLS RD
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:MA
Practice Address - Zip Code:01225-9571
Practice Address - Country:US
Practice Address - Phone:413-822-7518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program