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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUTUMN MARIE HANNA, PA

Active Sole Proprietor

AUTUMN MARIE HANNA, PA is a Physician Assistant healthcare provider located in SOUTH BEND, Indiana. NPI 1003677964 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SOUTH BEND, IN

Registration Details

NPI Number
1003677964
Provider Type
Individual
Gender
Female
NPI Issued
Jan 18, 2024 (2.5698238562486 yrs)
Last Updated
Aug 19, 2025
Sole Proprietor
Yes

Practice Information

Address
211 N EDDY ST
SOUTH BEND, IN, 466172808
Browse IN providers · Browse ZIP 46617
Phone
5742348161
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SOUTH BEND, IN

Name Credential NPI
SHERI A WILSON PA-C 1568454940
MR. JACOB M. FRAKER P.A. 1770565723
JULIE KAY WHITAKER MPA-C 1376593160
ROSS GREENSTEIN PA 1598772071
MR. JOEL WAYNE COOTS MPAS,PA-C 1235146945
MS. JANET ELIZABETH HANFF PA 1760557938
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.