Provider Demographics
NPI:1750796272
Name:LEIN, HANNA (PA-C)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:LEIN
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 1:30 ALFANO DR
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03748-3829
Mailing Address - Country:US
Mailing Address - Phone:605-484-4266
Mailing Address - Fax:
Practice Address - Street 1:20 MAITLAND ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3534
Practice Address - Country:US
Practice Address - Phone:603-224-1319
Practice Address - Fax:610-843-1094
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1923363A00000X, 363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
1195086OtherNCCPA
NH3140059Medicaid
NH1923OtherBOARD OF MEDICINE - PA LICENSE