Individual provider · Type 1 NPI
Ann Hazen Whisenant, PA-C
Surgical Physician Assistant · San Leandro, CA
NPI number
1063486264
Active
Practice location
2500 Merced St
San Leandro, CA 94577-4201
Fax (925) 215-2251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 11627 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1063486264
Ann Hazen Whisenant, PA-C's National Provider Identifier is 1063486264, issued on Feb 14, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Leandro, CA. The record was last updated on Aug 3, 2015.