Individual
ANTOINETTE HANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-5555
Mailing address
3338 N BRIGHTON, MESA, AZ 85207-0998
(602) 574-3288
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN136538
AZ
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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