Individual provider · Type 1 NPI
Mary Ellen Rose Hannan
Acute Care Nurse Practitioner · Washington, DC
NPI number
1508565177
Active
Practice location
110 Irving St NW
Washington, DC 20010-3017
Mailing address
6203 Chronicle St
Hyattsville, MD 20782-2962
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R240407 (MD) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | NP1041434 (DC) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1508565177
Mary Ellen Rose Hannan's National Provider Identifier is 1508565177, issued on Mar 2, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Washington, DC. The record was last updated on Sep 1, 2023.