Individual
MRS. HANNAH LYNN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2315 MYRTLE ST STE 290, ERIE, PA 16502-4602
(814) 452-7300
(814) 452-5015
Mailing address
2315 MYRTLE ST STE 290, ERIE, PA 16502-4609
(814) 452-7300
(814) 452-5015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054588
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103201598
—
PA
01
—
12184218
CAQH
—
Enumeration date
12/28/2010
Last updated
10/06/2020
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