Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 0024173723 | VA |
NPI | 1023433133 |
---|---|
Provider Name | Ms. Heather Alison Hannon |
First Address | Richmond, VA 23226-3780 |
Second Address | North Chesterfield, VA 23235-4730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2014 |
Last Update Date | 28/10/2020 |