Autumn Hanna, PA

NPI 1003677964 · on the registry since 2024 · sole proprietor

Practice

Address: 211 N Eddy St
South Bend, IN 46617
Phone: (574) 234-8161
Organisation at this address: Icp Ppo, Llc
Pra Medical Inc
The South Bend Clinic Llc
The South Bend Clinic Llp
The South Bend Clinic Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 126

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Sex: Female
Record last updated: 2025-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana