Raven Diane Hannah, LPN in Holland, OH - Licensed Vocational Nurse

Raven Diane Hannah, LPN is a Licensed Vocational Nurse based in Holland, Ohio. Raven Diane Hannah is licensed to practice in Ohio (license number LPN.163992.MEDS-IV) and her current practice location is 350 South Irwin Rd, Holland, Ohio. She can be reached at her office (for appointments etc.) via phone at (567) 703-9064.

NPI number for Raven Diane Hannah is 1982262291 and her current mailing address is 350 South Irwin, Holland, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982262291.

Contact Information

	Raven Diane Hannah, LPN
	350 South Irwin Rd, Holland, OH 43528
	(567) 703-9064
	Not Available

Provider's Profile

Full Name	Raven Diane Hannah
Gender	Female
Speciality	Licensed Vocational Nurse
Location	350 South Irwin Rd, Holland, Ohio
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1982262291
Provider Enumeration Date: 06/01/2019
Last Update Date: 08/19/2019

Medical Identifiers

Medical identifiers for Raven Diane Hannah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982262291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164X00000X	Licensed Vocational Nurse	LPN.163992.MEDS-IV (Ohio)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raven Diane Hannah is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Raven Diane Hannah, LPN 350 South Irwin, Holland, OH 43528 Ph: (567) 703-9064	Raven Diane Hannah, LPN 350 South Irwin Rd, Holland, OH 43528 Ph: (567) 703-9064

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Raven Diane Hannah, LPN - Licensed Vocational Nurse in Holland, OH