Individual
ASHLEA SHANNELL HANNAMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2100 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87110-5419
(505) 724-4300
Mailing address
2100 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87110-5419
(505) 724-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2018-0069
NM
363A00000X
Physician Assistant
PA218923
OR
363A00000X
Physician Assistant
PA2506
ME
Other
Enumeration date
10/22/2018
Last updated
12/17/2025
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