Wafaa Hanna

Individual provider Active NPI Licensed Practical Nurse · Harrison Township, MI

NPI 1861930828 · NPPES record last updated Feb 9, 2017

Key facts

NPI
1861930828
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
4703095613 (MI)
Practice address
38625 Thornwood Dr
Harrison Township, MI 48045-2664
Phone
(586) 344-8708
NPI assigned
Feb 9, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4703095613MIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703095613 MI Yes

Addresses

Primary practice location

38625 Thornwood Dr
Harrison Township, MI 48045-2664

Mailing address

38625 Thornwood Dr
Harrison Township, MI 48045-2664
Phone (586) 344-8708

Other providers in Harrison Township, MI

All providers in Harrison Township, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.