# HANNAH FINNERTY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730740507
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 5601009510 | MI | — |
| 363A00000X | Physician Assistant | 5601009510 | MI | Yes |

## Other

- **Enumeration date:** 06/24/2019
- **Last updated:** 02/27/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5315211855 | CONTROLLED SUBSTANCE LICENSE | MI |
| 01 | — | 5601009510 | PHYSICIAN ASSISTANT LICENSE | MI |