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NPI Code Detail

MEDICARE: DAWN MARIE HANNA PA

MEDICARE: DAWN MARIE HANNA PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant300747LA

General Provider Information

NPI Number : 1063454825
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN MARIE HANNA PA
Provider Business Mailing Address
First Line : PO BOX 487
Second Line :
City : SAINT FRANCISVILLE
State : LA
Zip : 70775-0487
Country : US
Telephone Number : 225-635-5848
Fax Number : 225-635-5847
Provider Business Practice Location Address
First Line : 5326 OAK ST
Second Line :
City : SAINT FRANCISVILLE
State : LA
Zip : 70775-4510
Country : US
Telephone Number : 225-635-5848
Fax Number : 225-635-5847
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 09/24/2024

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Directions to “ DAWN MARIE HANNA PA” Practice Location

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