Individual
DEBRA L HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3232 NAVARRE AVE, OREGON, OH 43616-3312
(419) 691-0636
Mailing address
3232 NAVARRE AVE, OREGON, OH 43616-3312
(419) 691-0636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704200669
MI
363LF0000X
Family Nurse Practitioner
Primary
NP-11586
OH
Other
Enumeration date
02/03/2009
Last updated
09/01/2011
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