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

Moriah Hanly, PA

Individual provider Physician Assistant · NPI 1174099808

Moriah Hanly, PA is a Physician Assistant in Fredericksburg, Virginia. Practices as a sole proprietor and works from 3 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2018
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 checks out

1101 Sam Perry Blvd Ste 121
Fredericksburg, VA 22401-4465
Phone: (540) 899-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2530 Hartford St, San Diego, CA 92110-2312 — (925) 640-6626
  • 5825 Plank Rd Ste 105, Fredericksburg, VA 22407-5207 — (540) 368-5603

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (VA)

Record details

NPI number1174099808
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 20, 2018
Last updated in NPPESJuly 10, 2021
Certification dateJuly 10, 2021
Mailing address2530 Hartford St, San Diego, CA 92110-2312

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