Individual
KRISTIN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(267) 303-9504
Mailing address
612 SMOKE HOUSE RD, WEST CHESTER, PA 19382-6127
(941) 993-8635
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
603808
PA
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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