Individual
MRS. LOUISE POTTER HANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP-AC
Contact information
Practice address
6701 N CHARLES ST, BALTIMORE, MD 21204-6808
(443) 849-2000
Mailing address
152 BRANDON RD, BALTIMORE, MD 21212-1127
(410) 428-0403
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R196203
MD
363LP0222X
Critical Care Pediatric Nurse Practitioner
R196203
MD
Other
Enumeration date
10/14/2018
Last updated
10/14/2018
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