Individual provider · Type 1 NPI
Brookelyn Hanley
Medical Physician Assistant · Thousand Oaks, CA
NPI number
1063204568
Active
Practice location
5351 Via Dolores
Thousand Oaks, CA 91320-6874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1063204568
Brookelyn Hanley's National Provider Identifier is 1063204568, issued on May 20, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Thousand Oaks, CA. The record was last updated on Oct 21, 2026.