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Contact Information

KIMBERLY M HANNA, RN
7850 W MAIN ST
RATHDRUM, ID83858-6478
 Phone: 208-777-5418
 Fax: 208-561-7077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY M HANNA · (Female)

NPI # 1255926556
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 03/08/2021
Last updated 03/08/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 33924
  • WA License # RN00163840
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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