Provider Demographics
NPI:1942376595
Name:SEXTON, HANNAH (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:
Last Name:SEXTON
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 1:320 ALPENGLOW LANE
Mailing Address - Street 2:LIVINGSTON HEALTH CARE
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047
Mailing Address - Country:US
Mailing Address - Phone:406-222-3541
Mailing Address - Fax:406-823-6287
Practice Address - Street 1:320 ALPENGLOW LANE
Practice Address - Street 2:LIVINGSTON HEALTH CARE
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047
Practice Address - Country:US
Practice Address - Phone:406-222-3541
Practice Address - Fax:406-823-6287
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT485363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant