Individual ProviderBrooklyn HannanStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address42nd And Emile Street, Omaha, NE 68198-0001(816) 787-7199PECOS EnrollmentBased on the most recent information from CMS, provider Brooklyn Hannan 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 ID1124864830Provider TypeIndividualFull NameHannan, BrooklynGenderFemaleSole ProprietorYesEnumeration Date7/2/2024Last Updated7/2/2024Contact InformationPractice LocationPractice Address42nd And Emile Street, Omaha, NE 68198-0001Phone(816) 787-7199FaxUnlisted FaxMailing LocationMailing Address42nd And Emile Street, Omaha, NE 68198-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer