Individual
BETH HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH AND CIVIC CENTER BLVD., PHILADELPHIA, PA 19104
(215) 590-3481
Mailing address
634 E LANCASTER AVE, RADNOR, PA 19087-5246
(610) 688-0152
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP00543N
PA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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