Provider Demographics
NPI:1861919839
Name:MILLAR, HANNAH (RN, CNP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:MILLAR
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8578 BAKER AVE
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-5055
Mailing Address - Country:US
Mailing Address - Phone:440-749-9068
Mailing Address - Fax:
Practice Address - Street 1:2550 SOM CENTER RD
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-9655
Practice Address - Country:US
Practice Address - Phone:440-943-2500
Practice Address - Fax:440-516-8285
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.021215363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner