Provider Demographics
NPI:1720320625
Name:HANNAH, ALLISON ELIZABETH (CNP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ELIZABETH
Last Name:HANNAH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:ELIZABETH
Other - Last Name:BULGRIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:7353 LINDEN LN
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7337
Mailing Address - Country:US
Mailing Address - Phone:614-270-6868
Mailing Address - Fax:
Practice Address - Street 1:725 BUCKLES CT N STE 210
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6884
Practice Address - Country:US
Practice Address - Phone:614-490-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-19
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14355-NP363LA2200X
OHAPRN.CNP.14355363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health