Individual
ERIN HANAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
106 LYNCH CREEK WAY STE 8, NORTH BAY DERMATOLOGY, PETALUMA, CA 94954-2356
(707) 763-6816
(707) 763-1730
Mailing address
106 LYNCH CREEK WAY STE 8, NORTH BAY DERMATOLOGY, PETALUMA, CA 94954-2356
(707) 763-6816
(707) 763-1730
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
004729
GA
363AM0700X
Medical Physician Assistant
Primary
004729
GA
363AM0700X
Medical Physician Assistant
PA21654
CA
Other
Enumeration date
09/21/2006
Last updated
09/03/2019
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