Provider Demographics
NPI:1447880430
Name:RAAKE, HANNAH CHRISTINE (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:CHRISTINE
Last Name:RAAKE
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2865 W BRADFORD RD NE
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:IN
Mailing Address - Zip Code:47164-7933
Mailing Address - Country:US
Mailing Address - Phone:502-724-8307
Mailing Address - Fax:
Practice Address - Street 1:2125 STATE ST STE 1
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4987
Practice Address - Country:US
Practice Address - Phone:812-949-7151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-19
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011541363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily