Individual
MS. DEBORAH ANN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC, FNP
Contact information
Practice address
915 N GRAND BLVD, 122-JC, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-6597
Mailing address
648 HICKORY KNOLL CT, BALLWIN, MO 63021-6225
(636) 256-9357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
58524
MO
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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