Alyce Hannan
Nurse Practitioner, Family in Metropolis, IL. Individual provider (NPI-1).
NPI number1073153235
StatusActive
Last updated in NPPESJan 15, 2020
Details
- NPI
- 1073153235
- Entity type
- Individual (NPI-1)
- Name
- Alyce Hannan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2020
- Certification date
- Jan 15, 2020
- Last updated
- Jan 15, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209020499 | IL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 3014125 | KY |
Practice location
12 Hospital DrMetropolis, IL 62960-2461
Phone 618-524-2182
Mailing address
12 Hospital DrMetropolis, IL 62960-2461
Phone 618-524-2182
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Family Nurse Practitioner providers in Metropolis · All 195 providers in Metropolis
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