Individual
MRS. COURTNEY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
165105
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
4561-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033404496
—
WI
Enumeration date
06/14/2011
Last updated
04/26/2019
Update your record
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