Provider Demographics
NPI:1215325113
Name:HEFNER, HANNAH F (MPAS, PA-C)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:F
Last Name:HEFNER
Suffix:
Gender:F
Credentials:MPAS, PA-C
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:PO BOX 896199
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28289-6199
Mailing Address - Country:US
Mailing Address - Phone:833-936-1364
Mailing Address - Fax:605-942-7505
Practice Address - Street 1:2336 1ST AVE SW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-2007
Practice Address - Country:US
Practice Address - Phone:828-732-5650
Practice Address - Fax:828-732-5651
Is Sole Proprietor?:No
Enumeration Date:2014-12-30
Last Update Date:2022-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-05443363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant