Most Relevant Information
Provider Data
| NPI Number: | 1003380957 |
| Provider Name: | HANNAH STONEBREAKER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | PA1886 |
Most Important Dates
| Enumeration Date: | 01/14/2019 |
| Last Updated: | 01/14/2019 |
Provider Practice Location
12 HIGH ST STE 401
LEWISTON
ME
042407690
Practice Location Phone/Fax
| Phone: | 2077955767 |
| Fax: |
Provider Mailing Location
12 HIGH ST STE 401
LEWISTON
ME
042407690
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |