| Elizabeth Ann Hanna, NP | |
|
2481 N 72nd Ave, Hart, MI 49420-8008 | |
| (231) 873-2163 | |
| (231) 873-2143 |
| Full Name | Elizabeth Ann Hanna |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2481 N 72nd Ave, Hart, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588964100 | NPI | - | NPPES |
| 1588964100 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704201363 (Michigan) | Primary |
| Entity Name | Sparrow Clinton Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306893078 PECOS PAC ID: 5395658850 Enrollment ID: O20040301000072 |
| Entity Name | Memorial Medical Center Of West Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972589489 PECOS PAC ID: 3678543659 Enrollment ID: O20071128000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ann Hanna, NP 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: (616) 486-6790 | Elizabeth Ann Hanna, NP 2481 N 72nd Ave, Hart, MI 49420-8008 Ph: (231) 873-2163 |
Marlene Marie Berens, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2481 N 72nd Ave, Hart, MI 49420 Phone: 231-873-2163 | |
Natalie Michele Hoffman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E Main St, Hart, MI 49420 Phone: 231-873-2148 | |
Lori Lynn Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3986 N Oceana Dr, Hart, MI 49420 Phone: 231-873-2193 Fax: 231-873-4248 | |
Mrs. Marstie Sue Bunting, D-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 E Main St, Hart, MI 49420 Phone: 231-873-6900 Fax: 231-873-1825 | |
Kristie Lee Richards, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2481 N 72nd Ave, Hart, MI 49420 Phone: 231-873-2163 |