Provider Demographics
NPI:1588106272
Name:HANNANS, RONIKKA CHARVELLE (FNP)
Entity type:Individual
Prefix:
First Name:RONIKKA
Middle Name:CHARVELLE
Last Name:HANNANS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 LAWSON LN
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-2776
Mailing Address - Country:US
Mailing Address - Phone:910-783-4818
Mailing Address - Fax:
Practice Address - Street 1:319 HOSPITAL DR STE 103
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-1928
Practice Address - Country:US
Practice Address - Phone:276-666-0044
Practice Address - Fax:276-666-0393
Is Sole Proprietor?:No
Enumeration Date:2016-11-10
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA24174244363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily