Provider Demographics
NPI:1871388041
Name:HAHN, AMELIE
Entity type:Individual
Prefix:
First Name:AMELIE
Middle Name:
Last Name:HAHN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 LINCOLNSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:MINERAL WELLS
Mailing Address - State:WV
Mailing Address - Zip Code:26150-6004
Mailing Address - Country:US
Mailing Address - Phone:601-896-8155
Mailing Address - Fax:
Practice Address - Street 1:403 LINCOLNSHIRE DR
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:WV
Practice Address - Zip Code:26150-6004
Practice Address - Country:US
Practice Address - Phone:601-896-8155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant