Individual provider · Type 1 NPI

Mariya M. Hanneman, PA-C

Physician Assistant · Charlotte, NC

NPI number 1265764112 Active

Practice location

501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035

Call (704) 377-2424 Map

Other practice locations

  • 9121 Sam Furr Rd Ste 108, Huntersville, NC 28078-8235 · (704) 324-3590
  • 2280 US Highway 70 SE, Hickory, NC 28602-5164 · (828) 404-3656

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X0010-02169 (NC)
Physician Assistant Primary 363A00000X0010-02169 (NC)

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 1265764112

Mariya M. Hanneman, PA-C's National Provider Identifier is 1265764112, issued on Feb 3, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 16, 2025.