Basic Information
Provider Information
NPI: 1104394741
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHUG
FirstName: HANNAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PNP-PC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1650 HUNTINGDON PIKE
Address2: SUITE 320
City: MEADOWBROOK
State: PA
PostalCode: 19046
CountryCode: US
TelephoneNumber: 2159471447
FaxNumber: 2159472603
Practice Location
Address1: 1650 HUNTINGDON PIKE
Address2: SUITE 320
City: MEADOWBROOK
State: PA
PostalCode: 19046
CountryCode: US
TelephoneNumber: 2159471447
FaxNumber: 2159472603
Other Information
ProviderEnumerationDate: 11/12/2018
LastUpdateDate: 10/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XSP019849PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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