Provider Demographics
NPI:1366171514
Name:RAY, HANNAH EVANS (CRNP)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:EVANS
Last Name:RAY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 CECIL ASHBURN DR SE STE 201
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-2564
Mailing Address - Country:US
Mailing Address - Phone:256-925-3376
Mailing Address - Fax:
Practice Address - Street 1:2045 CECIL ASHBURN DR SE STE 201
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-2564
Practice Address - Country:US
Practice Address - Phone:256-925-3376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-05
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-140411363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner