Individual provider · Type 1 NPI

Mikayla Hansen, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1235901778 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (215) 590-1944 Map

Mailing address

630 S Bambrey St
Philadelphia, PA 19146-1021

Other practice locations

  • 550 S Goddard Blvd, King Of Prussia, PA 19406-2922 · (800) 879-2467

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA065051 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1235901778

Mikayla Hansen, PA-C's National Provider Identifier is 1235901778, issued on Oct 27, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 17, 2025.