Provider Demographics
NPI:1588267611
Name:FLEISCHMAN, HANNAH ELIZABETH (AGACNP)
Entity type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:FLEISCHMAN
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:MI
Mailing Address - Zip Code:48451-8914
Mailing Address - Country:US
Mailing Address - Phone:810-333-2153
Mailing Address - Fax:
Practice Address - Street 1:516 E BROAD ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:MI
Practice Address - Zip Code:48451-8914
Practice Address - Country:US
Practice Address - Phone:810-333-2153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704304970363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care