Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hannah Park, PA

Individual provider Physician Assistant · NPI 1548985658

Hannah Park, PA is a Physician Assistant in APO, Armed Forces Europe. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

48TH Mdg/raf Lakenheath Unit 5115
APO, AE 09461-5115
Phone: (316) 222-9058

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1217989

Record details

NPI number1548985658
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 11, 2022
Last updated in NPPESMay 17, 2024
Certification dateApril 2, 2024
Mailing address4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600

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