Provider Demographics
NPI:1487298667
Name:MASSEE, HANNA MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:MARIE
Last Name:MASSEE
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2290 SACRAMENTO ST
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-2929
Mailing Address - Country:US
Mailing Address - Phone:707-643-5785
Mailing Address - Fax:707-643-8190
Practice Address - Street 1:480 CHADBOURNE RD STE 201
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-9641
Practice Address - Country:US
Practice Address - Phone:707-399-4500
Practice Address - Fax:707-399-9410
Is Sole Proprietor?:No
Enumeration Date:2019-10-31
Last Update Date:2023-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA57390363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant