Individual
HANNAH BASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
650 DEL PRADO BLVD S STE 100, CAPE CORAL, FL 33990-5617
(239) 424-2060
(239) 424-2061
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9800
(239) 343-9848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113644
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108586100
—
FL
Enumeration date
04/04/2019
Last updated
10/03/2025
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