Provider Demographics
NPI:1710780325
Name:BRECKWOLDT, HANNAH COWART (MD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:COWART
Last Name:BRECKWOLDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18635 LAKE STREAM DR
Mailing Address - Street 2:
Mailing Address - City:GREENWELL SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70739-4773
Mailing Address - Country:US
Mailing Address - Phone:225-978-3608
Mailing Address - Fax:
Practice Address - Street 1:18635 LAKE STREAM DR
Practice Address - Street 2:
Practice Address - City:GREENWELL SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70739-4773
Practice Address - Country:US
Practice Address - Phone:225-978-3608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program