Provider Demographics
NPI:1912880337
Name:PERDOMO, HANNAH MELEA (RN)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MELEA
Last Name:PERDOMO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 S AVENUE A BLDG C
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7928
Mailing Address - Country:US
Mailing Address - Phone:928-502-6809
Mailing Address - Fax:
Practice Address - Street 1:3150 S AVENUE A BLDG C
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-7928
Practice Address - Country:US
Practice Address - Phone:928-502-6809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2188062255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer