Individual provider · Type 1 NPI

Hannah Louise Dahlem Boudreaux, PA-C

Surgical Physician Assistant · Seattle, WA

NPI number 1013550300 Active

Practice location

1100 9th Ave
Seattle, WA 98101-2756

Mailing address

1550 Centervue Crossing Way Apt 103
Knoxville, TN 37932-1756

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1013550300

Hannah Louise Dahlem Boudreaux, PA-C's National Provider Identifier is 1013550300, issued on Oct 20, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Seattle, WA. The record was last updated on Oct 20, 2019.