Basic Information
Provider Information
NPI: 1023783206
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GEE
FirstName: HANNAH
MiddleName: ELAINE
NamePrefix:  
NameSuffix:  
Credential: APRN, WHNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10205 PAINTBRUSH DR
Address2:  
City: FORT WORTH
State: TX
PostalCode: 762446655
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 505 OMEGA DR
Address2:  
City: ARLINGTON
State: TX
PostalCode: 760142004
CountryCode: US
TelephoneNumber: 8174683255
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/10/2021
LastUpdateDate: 08/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102X1049946TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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