Provider Demographics
NPI:1730889551
Name:HAHN, PAULA SUE (RN, BSN BC-NC)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:SUE
Last Name:HAHN
Suffix:
Gender:F
Credentials:RN, BSN BC-NC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 INDUSTRIAL DR STE B
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-4436
Mailing Address - Country:US
Mailing Address - Phone:912-576-5359
Mailing Address - Fax:912-576-5349
Practice Address - Street 1:107 INDUSTRIAL DR STE B
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-4436
Practice Address - Country:US
Practice Address - Phone:912-576-5359
Practice Address - Fax:912-576-5349
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9414168163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty