Provider Demographics
NPI:1982180675
Name:HORAN, HANNAH KAY (PA)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:KAY
Last Name:HORAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:KAY
Other - Last Name:KARCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:CLARE
Mailing Address - State:MI
Mailing Address - Zip Code:48617-9414
Mailing Address - Country:US
Mailing Address - Phone:989-386-9911
Mailing Address - Fax:989-386-9913
Practice Address - Street 1:700 W 5TH ST
Practice Address - Street 2:
Practice Address - City:CLARE
Practice Address - State:MI
Practice Address - Zip Code:48617-9414
Practice Address - Country:US
Practice Address - Phone:989-386-9911
Practice Address - Fax:989-386-9913
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601008892363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant