Most Relevant Information
Provider Data
| NPI Number: | 1003301193 |
| Provider Name: | HOLLIE MARIE HANNAN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 686941 |
Most Important Dates
| Enumeration Date: | 06/29/2018 |
| Last Updated: | 06/29/2018 |
Provider Practice Location
1400 NOYES ST
UTICA
NY
135023854
Practice Location Phone/Fax
| Phone: | 3157383800 |
| Fax: |
Provider Mailing Location
1400 NOYES ST
UTICA
NY
135023854
Provider Mailing Phone/Fax
| Phone: | 3157383800 |
| Fax: |