Provider Demographics
NPI:1174342398
Name:KUNZE, HANNAH MASSEY (RN BSN)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MASSEY
Last Name:KUNZE
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10101 FIDELITY AVE # 2
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-1212
Mailing Address - Country:US
Mailing Address - Phone:440-645-0536
Mailing Address - Fax:
Practice Address - Street 1:10101 FIDELITY AVE # 2
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-1212
Practice Address - Country:US
Practice Address - Phone:440-645-0536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.467102163WM0705X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WH0200XNursing Service ProvidersRegistered NurseHome Health