Individual provider · NPI-1

Mary Ann Hannah, PA-C

Physician Assistant, Medical · Bethlehem, PA

NPI number1649287202
StatusActive
Last updated in NPPESMar 28, 2024

Details

NPI
1649287202
Entity type
Individual (NPI-1)
Name
Mary Ann Hannah
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Aug 3, 2006
Certification date
Mar 28, 2024
Last updated
Mar 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalMA054957PAYes
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic SurgeryC002515MD
363A00000X Physician AssistantC02515MD

Practice location

2649 Schoenersville Rd
Ste 301
Bethlehem, PA 18017-7326

Phone 484-884-4799 · Fax 484-893-8653

Mailing address

Po Box 783311
Philadelphia, PA 19178-3311

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.

Other Physician Assistant, Medical providers in Bethlehem, PA