1346206273 NPI number — MS. CURTISS P HANNUM C.R.N.P.

Table of content: MS. CURTISS P HANNUM C.R.N.P. (NPI 1346206273)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346206273 NPI number — MS. CURTISS P HANNUM C.R.N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HANNUM
Provider First Name:
CURTISS
Provider Middle Name:
P
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
C.R.N.P.
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:
1346206273
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
502 KINGS HWY N
Provider Second Line Business Mailing Address:
CHERRY HILL WOMEN'S CENTER
Provider Business Mailing Address City Name:
CHERRY HILL
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08034-1502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-667-5910
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
502 KINGS HWY N
Provider Second Line Business Practice Location Address:
CHERRY HILL WOMEN'S CENTER
Provider Business Practice Location Address City Name:
CHERRY HILL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08034-1502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-667-5910
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/20/2006

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: 363LW0102X , with the licence number:  26NJ00044000 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 163WW0101X , with the licence number: 26NR10833400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 163WW0101X , with the licence number: RN535435 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 363LW0102X , with the licence number: SP007687 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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

  • Identifier: 0072133 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".