Provider Demographics
NPI:1063397099
Name:PERRY, HANNAH LEE
Entity type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:LEE
Last Name:PERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:588 LYCANS BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:ONA
Mailing Address - State:WV
Mailing Address - Zip Code:25545-7124
Mailing Address - Country:US
Mailing Address - Phone:740-600-5136
Mailing Address - Fax:740-600-5136
Practice Address - Street 1:588 LYCANS BRANCH RD
Practice Address - Street 2:
Practice Address - City:ONA
Practice Address - State:WV
Practice Address - Zip Code:25545-7124
Practice Address - Country:US
Practice Address - Phone:740-600-5136
Practice Address - Fax:740-600-5136
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program