Healthcare Provider Details

I. General information

NPI: 1053291492
Provider Name (Legal Business Name): HANNAH PAULINE ANDERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 HAWTHORNE ST
MONTEREY CA
93940-1808
US

IV. Provider business mailing address

1191 NOCHE BUENA ST APT S
SEASIDE CA
93955-5942
US

V. Phone/Fax

Practice location:
  • Phone: 831-643-9069
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: