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Individual
THERESA A HANES
Active
Individual
THERESA A HANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1049736
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051528320
BLUE CROSS BLUE SHIELD AL
AL
01
—
510-50070
BCBS OF ALABAMA
AL
01
—
51111375
BCBS OF ALABAMA
AL
01
—
515-45706
BCBS OF ALABAMA
AL
01
—
515-45707
BCBS OF ALABAMA
AL
01
—
515-45708
BCBS OF ALABAMA
AL
01
—
515-45764
BCBS OF ALABAMA
AL
01
—
515-94366
BCBS OF ALABAMA
AL
05
—
528701110
—
AL
01
—
CA0084
RR MEDICARE
AL
01
—
P00214863
RR MEDICARE
AL
Enumeration date
06/12/2006
Last updated
03/24/2011
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