Individual
MICHELE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN- CNP
Contact information
Practice address
5 ALEXANDERSVILLE RD, MIAMISBURG, OH 45342-3672
(937) 247-0304
(937) 247-0313
Mailing address
1323 W 3RD ST, DAYTON, OH 45402-6714
(937) 586-9733
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.01671
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3127780
—
OH
Enumeration date
11/11/2010
Last updated
09/10/2018
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