Individual
HANNAH JO HAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5161
AZ
363AM0700X
Medical Physician Assistant
4948
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4948
LICENSE
GA
05
—
737403
—
AZ
Enumeration date
02/23/2007
Last updated
09/03/2020
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