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Randi Hanna

Physician Assistant in Fishers, IN. Individual provider (NPI-1).

NPI number1760193643
StatusActive
Last updated in NPPESNov 28, 2023

Details

NPI
1760193643
Entity type
Individual (NPI-1)
Name
Randi Hanna
Sex
Female
Sole proprietor
No
Enumeration date
Dec 12, 2022
Certification date
Nov 28, 2023
Last updated
Nov 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant10004207AINYes

Practice location

9894 E 121st St
Fishers, IN 46037-4154

Phone 317-621-2273 · Fax 317-806-1653

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Other practice locations

901 W New York St
Indianapolis, IN 46202-5224

Phone 317-274-7238

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