Individual
MARY LEE HANEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1021 WHITETAIL DR, MANDEVILLE, LA 70448-1998
(985) 778-0528
Mailing address
1021 WHITETAIL DR, MANDEVILLE, LA 70448-1998
(985) 778-0528
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
RN071661 AP03536
LA
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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