MEDICARE: APRIL HANNA, PA-C PLLC

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
1	363AS0400X	Surgical Physician Assistant	3550	AZ

General Provider Information

NPI Number	:	1740524123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APRIL HANNA, PA-C PLLC

Provider Business Mailing Address
First Line	:	12121 E BARBARY COAST RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85749-8443
Country	:	US
Telephone Number	:	520-820-0454
Fax Number	:	480-699-6264

Provider Business Practice Location Address
First Line	:	12121 E BARBARY COAST RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85749-8443
Country	:	US
Telephone Number	:	520-820-0454
Fax Number	:	480-699-6264

Authorized Official
Title or Position	:	OWNER
Name	:	APRIL HANNA
Credential	:	PA-C
Telephone Number	:	520-820-0454

Provider Enumeration Date	:	11/25/2012
Last Update Date	:	11/25/2012

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