Provider Demographics
NPI:1326651852
Name:SUMMERHILL, HANNAH BERRY (PA-C)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:BERRY
Last Name:SUMMERHILL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6126 S NIAGARA CT
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4441
Mailing Address - Country:US
Mailing Address - Phone:720-530-7517
Mailing Address - Fax:
Practice Address - Street 1:2352 MEADOWS BLVD STE 170
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8409
Practice Address - Country:US
Practice Address - Phone:303-688-5226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0006342OtherCOLORADO DORA