Hannah A Dehertogh, A-GNP-C
Nurse Practitioner, Gerontology in West Hartford, Connecticut
1417681818- Practice location
- 41 N Main St Ste 300, West Hartford, CT 06107-1929
- Phone
- 860-313-0448
- Fax
- —
- Last updated
- May 27, 2024
Hannah Alina Dehertogh is a Nurse Practitioner, Gerontology based in West Hartford, CT. Hannah Alina Dehertogh practices in West Hartford, CT and has the professional credentials of A-GNP-C. The NPI Number for Hannah Alina Dehertogh is 1417681818 and holds a License No. 172750 (CT). The current practice location address for Hannah Alina Dehertogh is 41 N Main St Ste 300, West Hartford, CT 06107-1929 and can be reached out via phone at 860-313-0448.
Provider Profile Details
- NPI Number
- 1417681818
- Provider Name
- Hannah Alina Dehertogh
- Credential
- A-GNP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 41 N Main St Ste 300, West Hartford, CT 06107-1929
- Phone Number
- 860-313-0448
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 12, 2022
- Last Update Date
- May 27, 2024
- Certification Date
- May 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 41 N Main St Ste 300
West Hartford, CT 06107-1929 - City
- West Hartford
- State
- Connecticut
- Zip
- 06107-1929
- Phone Number
- 860-313-0448
Provider Business Mailing Address Details
- Address
- 24 Proctor Dr
West Hartford, CT 06117-2037 - City
- West Hartford
- State
- CT
- Zip
- 06117-2037
- Phone Number
- 860-670-3075
License Information
- License Number (1)
- 172750
- License State (1)
- CT
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 12.010825
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Hannah A Dehertogh, A-GNP-C?
The NPI number of Hannah A Dehertogh, A-GNP-C is 1417681818. It was assigned on July 12, 2022 and is currently active in the NPPES registry.
What is the specialty of Hannah A Dehertogh, A-GNP-C?
Hannah A Dehertogh, A-GNP-C is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in CT under license number 172750.
Where does Hannah A Dehertogh, A-GNP-C practice?
The practice location is 41 N Main St Ste 300, West Hartford, CT 06107-1929. The office can be reached at 860-313-0448 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417681818 directly on the NPPES registry website.