Provider Demographics
NPI:1629038260
Name:HANSON, KARLA A (PA-C)
Entity Type:Individual
Prefix:MS
First Name:KARLA
Middle Name:A
Last Name:HANSON
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 1:475 PLEASANT ST STE D
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1858
Mailing Address - Country:US
Mailing Address - Phone:508-753-4151
Mailing Address - Fax:508-753-1974
Practice Address - Street 1:475 PLEASANT ST STE D
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1858
Practice Address - Country:US
Practice Address - Phone:508-753-4151
Practice Address - Fax:508-753-1974
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAP1237Medicare ID - Type UnspecifiedMEDICARE NUMBER
MAP03646Medicare UPIN