Provider Demographics
NPI:1730373481
Name:PEPPER, HANNA (NP)
Entity type:Individual
Prefix:MS
First Name:HANNA
Middle Name:
Last Name:PEPPER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:DEIRDRE
Other - Middle Name:HANNA
Other - Last Name:PEPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:3031 TELEGRAPH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3205
Mailing Address - Country:US
Mailing Address - Phone:510-596-8125
Mailing Address - Fax:
Practice Address - Street 1:3031 TELEGRAPH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3205
Practice Address - Country:US
Practice Address - Phone:510-506-8125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP13759363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health