Individual
CAMILLA CATHERINE KAREN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5027 PENNELL RD, ASTON, PA 19014-1869
(866) 862-2955
Mailing address
5027 PENNELL RD, ASTON, PA 19014-1869
(866) 862-2955
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017088
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP17088
STATE LICENSE
PA
Enumeration date
04/06/2017
Last updated
04/06/2017
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