Individual
CARRIE B HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5002 W LEMON ST, TAMPA, FL 33609-1104
(813) 286-0033
(813) 286-1806
Mailing address
5 TAMPA GENERAL CIR STE 240, TAMPA, FL 33606-3578
(813) 258-3309
(813) 251-4454
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9468583
FL
367A00000X
Advanced Practice Midwife
Primary
APRN9468583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103669300
—
FL
01
—
JH746Y
MEDICARE
FL
Enumeration date
06/15/2006
Last updated
08/31/2021
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