Individual
MRS. CAROL BEVERLY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4929 W FOND DU LAC AVE, MILWAUKEE, WI 53216-2324
(414) 871-6122
(414) 871-2552
Mailing address
4929 W FOND DU LAC AVE, MILWAUKEE, WI 53216-2324
(414) 871-6122
(414) 871-2552
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
120740-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120740-30
REGISTERED NURSE
WI
Enumeration date
02/21/2007
Last updated
07/08/2007
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