Pamela Mary Hannen in Green Bay - Physician Assistant
Pamela Mary Hannen - NPI 1477535755
Pamela Mary Hannen is a Physician Assistant in Green Bay, Wisconsin. Pamela Mary Hannen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Pamela Mary Hannen is 1477535755. The last update date is 2023-03-07.
Pamela Mary Hannen's current location address is Po Box 19070, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700. The mailing address for Pamela Mary Hannen is Po Box 19070, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Mary Hannen |
|---|---|
| Address | Po Box 19070, Green Bay, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1477535755 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 19070 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543079070 |
| Phone Number | 9204964700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1926 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1477535755 | WI | NPI | |
| 42880300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pamela Mary Hannen by the Centers for Medicare & Medicaid Services?
The Pamela Mary Hannen has been assigned the NPI (National Provider Identifier) 1477535755 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Pamela Mary Hannen?
The Pamela Mary Hannen is physically situated at Po Box 19070, in the city of Green Bay, state of WI, with the postal code 543079070.
What is Pamela Mary Hannen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pamela Mary Hannen's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did the Pamela Mary Hannen receive its 1477535755?
The Pamela Mary Hannen was issued its 1477535755 on 2005-11-14, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Pamela Mary Hannen last refreshed?
The information related to the Pamela Mary Hannen, including its address, specialty, and other relevant details, was last updated on 2023-03-07.