HANNA REVEA KING PA NPI 1023765955

NPI Information

Hanna Revea King, PA is a medical physician assistant in Phoenix, AZ. Hanna Revea King, PA NPI is 1023765955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1929 W FILLMORE ST BLDG C
PHOENIX, AZ
ZIP 85009-812
Phone: (602) 258-6008
Fax: (602) 258-8388

The NPI 1023765955 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/10/2022 and was last updated on 3/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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