Individual provider · Type 1 NPI

Shanae A. Hanoute, PA-C

Physician Assistant · Portage, MI

NPI number 1215917836 Active

Practice location

2600 W Centre Ave
Portage, MI 49024-4828

Call (269) 324-4141 Map

Fax (269) 324-2020

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601003319 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1215917836

Shanae A. Hanoute, PA-C's National Provider Identifier is 1215917836, issued on Jan 19, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portage, MI. The record was last updated on Apr 14, 2026.