Provider Demographics
NPI:1801786173
Name:KELLY, HANNAH REBECCA (RN, BAN, ARNP, FNP-C)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:REBECCA
Last Name:KELLY
Suffix:
Gender:F
Credentials:RN, BAN, ARNP, FNP-C
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:REBECCA
Other - Last Name:GESING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1322 315TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT ATKINSON
Mailing Address - State:IA
Mailing Address - Zip Code:52144-7112
Mailing Address - Country:US
Mailing Address - Phone:563-568-9653
Mailing Address - Fax:563-568-9653
Practice Address - Street 1:105 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WAUKON
Practice Address - State:IA
Practice Address - Zip Code:52172-1735
Practice Address - Country:US
Practice Address - Phone:563-568-5530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA176661163W00000X
IAA185428363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse