| Doctor Name: | ALYSSA HANNAH |
| NPI Number: | 1720095045 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | MA-051623 |
| Business Practice Address: | 5 N 3rd St Reynoldsville, PA - 158510907 |
| Business Phone Number: | 8146538222 |
| Business Fax Number: | 8143539305 |
| Mailing Address: | 100 Hospital Ave, DU BOIS |
| State: | PA |
| Postal Code: | 158011440 |
| Phone Number: | 8143753750 |
| Fax Number: | 8143759624 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA-051623 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |