Autumn Marie Hanna, PA

NPI #1003677964 in South Bend, Indiana

Provider Information

NPI Number: 1003677964
Entity Type: Individual
Name: Autumn Marie Hanna, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 18, 2024
Last Updated: Aug 19, 2025

Practice Location

Address: 211 N EDDY ST
City: South Bend
State: Indiana
ZIP Code: 46617-2808
Phone: (574) 234-8161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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