1154422830 NPI number — CARYN SCHLOSS HANRAHAN CNM

Table of content: CARYN SCHLOSS HANRAHAN CNM (NPI 1154422830)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154422830 NPI number — CARYN SCHLOSS HANRAHAN CNM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HANRAHAN
Provider First Name:
CARYN
Provider Middle Name:
SCHLOSS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CNM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154422830
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
69 JESSE HILL JR DR SE
Provider Second Line Business Mailing Address:
EMORY UNIVERSITY GYN/OB DEPT., 4TH FLOOR
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30303-3033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-616-4898
Provider Business Mailing Address Fax Number:
404-616-2904

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
80 JESSE HILL JR DR SE # 26105
Provider Second Line Business Practice Location Address:
GRADY HEALTH SYSTEM, GYN/OB CLINIC
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30303-3031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-616-4898
Provider Business Practice Location Address Fax Number:
404-616-2904
Provider Enumeration Date:
09/26/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367A00000X , with the licence number:  RN096362 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6145 . This is a "ACNM CERTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: RN096362 . This is a "RN LICENSE NUMBER-CNM" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 00507812A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".