Provider Demographics
NPI:1578371217
Name:ROHER, HANNAH (MSN, RN, IBCLC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:ROHER
Suffix:
Gender:F
Credentials:MSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 ROCKROSE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-1327
Mailing Address - Country:US
Mailing Address - Phone:501-804-6679
Mailing Address - Fax:
Practice Address - Street 1:2014 ROCKROSE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-1327
Practice Address - Country:US
Practice Address - Phone:501-804-6679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL-302123163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant