| Doctor Name: | HANAH MIA HESER |
| NPI Number: | 1710395553 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 44933 |
| Business Practice Address: | 16 Railway Ave Three Forks, MT - 597529080 |
| Business Phone Number: | 4062853251 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1078, THREE FORKS |
| State: | MT |
| Postal Code: | 597521078 |
| Phone Number: | 4062853251 |
| Fax Number: | 4062856742 |
| NPI Enumeration Date: | 07/24/2014 |
| NPI Last Update Date: | 07/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 44933 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |