Individual provider · Type 1 NPI

Lisa Ann Hanna-Netzly, PA-C

Physician Assistant · Grand Rapids, MI

NPI number 1962985457 Active

Practice location

2118 3 Mile Rd NW
Grand Rapids, MI 49544-1425

Call (616) 222-3720 Map

Fax (616) 222-3724

Mailing address

300 68th St SE
Grand Rapids, MI 49548-6927

Other practice locations

  • 300 68th St SE, Grand Rapids, MI 49548 · (616) 281-6382

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601008802 (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 1962985457

Lisa Ann Hanna-Netzly, PA-C's National Provider Identifier is 1962985457, issued on Sep 11, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 2, 2026.