Adrienne Paige Hearrell, PA-C, MPH, CPTA
Physician Assistant in New Haven, CT. Individual provider (NPI-1).
NPI number1760218549
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1760218549
- Entity type
- Individual (NPI-1)
- Name
- Adrienne Paige Hearrell
- Credential
- PA-C, MPH, CPTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2024
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 225200000X | Physical Therapy Assistant | 14-02691 | KS |
Practice location
100 Church St SNew Haven, CT 06519-1703
Phone 785-640-9638
Mailing address
100 Church St SNew Haven, CT 06519-1703
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