Provider Demographics
NPI:1194305631
Name:PANA, ANNA (AUD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:PANA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:HUTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1111 EXPOSITION BLVD BLDG 700
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4314
Mailing Address - Country:US
Mailing Address - Phone:916-736-3399
Mailing Address - Fax:916-736-3350
Practice Address - Street 1:1111 EXPOSITION BLVD BLDG 700
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4314
Practice Address - Country:US
Practice Address - Phone:916-736-3399
Practice Address - Fax:916-736-3350
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
CA3631231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist