Provider Demographics
NPI:1124351598
Name:HANEY, ALANA MICHELLE (MPAS,PA-C,RN-C,CDDN)
Entity type:Individual
Prefix:MRS
First Name:ALANA
Middle Name:MICHELLE
Last Name:HANEY
Suffix:
Gender:F
Credentials:MPAS,PA-C,RN-C,CDDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 HUNT RD SE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37323-8857
Mailing Address - Country:US
Mailing Address - Phone:423-710-4771
Mailing Address - Fax:855-629-8688
Practice Address - Street 1:2401 N OCOEE ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-3853
Practice Address - Country:US
Practice Address - Phone:423-710-4771
Practice Address - Fax:855-629-8688
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1509363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant