Individual
JANELLE MARIA HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
20950 N TATUM BLVD STE 190, PHOENIX, AZ 85050-4251
(480) 360-9814
Mailing address
PO BOX 95460, CLEVELAND, OH 44101-0033
(602) 581-6076
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
335815-1206
UT
363A00000X
Physician Assistant
680
CO
363AS0400X
Surgical Physician Assistant
680
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60337265
—
CO
05
—
621020
—
AZ
05
—
B3906
—
NM
Enumeration date
10/26/2005
Last updated
03/26/2026
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