Individual
JULIE ANN HANSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
11222 S 285TH EAST AVE, COWETA, OK 74429-3314
(918) 695-4942
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
200503
OK
Other
Enumeration date
11/02/2021
Last updated
10/06/2025
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