Individual
JEFFERY DANIEL HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10601 EAST BLVD, CLEVELAND, OH 44106
(216) 791-3800
Mailing address
5151 STATE ROUTE 82, MANTUA, OH 44255-9214
(330) 414-4646
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0034575
OH
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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