Provider Demographics
NPI:1598784225
Name:HANNA ARNDT, KAREN MARIE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MARIE
Last Name:HANNA ARNDT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:MARIE
Other - Last Name:HANNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:517 W JUNIPERO ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-4239
Mailing Address - Country:US
Mailing Address - Phone:805-682-8844
Mailing Address - Fax:805-682-4735
Practice Address - Street 1:5333 HOLLISTER AVE STE 110
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2379
Practice Address - Country:US
Practice Address - Phone:805-683-0055
Practice Address - Fax:805-683-0149
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA15070363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPA15070OtherSTATE LICENSE
CAPA15070OtherSTATE LICENSE