IndividualActive
Annaliese Hawthorne, PA-C
NPI 1548004229 · Surgical Physician Assistant · Hartford, CT
Provider details
- NPI number
- 1548004229
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 006428 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
80 Seymour St
Hartford, CT 06102-8000
Phone: (860) 972-5022
Approximate (ZIP-level) locationGet directions
Mailing address
80 Seymour St
Hartford, CT 06102-8000
Registry dates
- Enumerated
- 2024-06-19
- Last updated
- 2024-08-19
- Certified
- 2024-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.