Provider Demographics
NPI:1447955257
Name:SHEPHARD, HANNAH ELIZABETH (PA-C)
Entity type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:SHEPHARD
Suffix:
Gender:
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 1:305 MOUNT LEBANON BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1565
Mailing Address - Country:US
Mailing Address - Phone:412-737-0189
Mailing Address - Fax:
Practice Address - Street 1:305 MOUNT LEBANON BLVD STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1565
Practice Address - Country:US
Practice Address - Phone:412-561-7541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-13363A00000X
PAMA066064363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant