Healthcare Provider Details

I. General information

NPI: 1942376595
Provider Name (Legal Business Name): HANNAH SEXTON P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 ALPENGLOW LANE LIVINGSTON HEALTH CARE
LIVINGSTON MT
59047
US

IV. Provider business mailing address

915 HIGHLAND BLVD
BOZEMAN MT
59715-6902
US

V. Phone/Fax

Practice location:
  • Phone: 406-222-3541
  • Fax: 406-823-6287
Mailing address:
  • Phone: 406-414-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMED-PAC-LIC-485
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: