Individual ProviderHannah NuaDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address111 Michigan Ave NW, Washington, DC 20010-2916(661) 312-5760PECOS EnrollmentBased on the most recent information from CMS, provider Hannah Nua does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1033897640Provider TypeIndividualFull NameNua, HannahCredentialRDGenderFemaleSole ProprietorNoEnumeration Date7/5/2023Last Updated7/5/2023Contact InformationPractice LocationPractice Address111 Michigan Ave NW, Washington, DC 20010-2916Phone(661) 312-5760FaxUnlisted FaxMailing LocationMailing Address30240 Bouquet Canyon Rd, Santa Clarita, CA 91390-1140Phone(661) 312-5760FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseUnlisted Issuer