MRS. CYNTHIA LYNN HANSON PA-C NPI 1407842057

NPI Information

  • NPI: 1407842057
  • Provider Name: MRS. CYNTHIA LYNN HANSON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 1525 E BELTLINE AVE NE
    SUITE 101
    GRAND RAPIDS, MI
    ZIP 49525
  • Phone: (616) 363-0055

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NPI Details

MRS. Cynthia Lynn Hanson, PA-C is a medical physician assistant in Grand Rapids, MI. MRS. Cynthia Lynn Hanson, PA-C NPI is 1407842057. 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:

1525 E BELTLINE AVE NE
SUITE 101
GRAND RAPIDS, MI
ZIP 49525-598
Phone: (616) 363-0055
Fax: (616) 363-5180

The enumeration date for this NPI number is 9/20/2005 and was last updated on 7/8/2007.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical5601002660MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10N66350MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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