Provider Demographics
NPI:1972919959
Name:WHELAN, HANNAH K (PA-C)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:K
Last Name:WHELAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:K
Other - Last Name:KUSSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7974 UW HEALTH CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:THE AMERICAN CENTER
Practice Address - Street 2:4602 EASTPARK BLVD
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53718
Practice Address - Country:US
Practice Address - Phone:608-263-7540
Practice Address - Fax:608-662-4545
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3341363A00000X
NE2186363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant