Individual
ABRAHAM C. HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
901 HARRY S TRUMAN DR N, UPPER MARLBORO, MD 20774-5477
(240) 677-3000
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
17192
TN
363LA2100X
Acute Care Nurse Practitioner
209011165
IL
363LA2100X
Acute Care Nurse Practitioner
430878
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
R253541
MD
Other
Enumeration date
07/16/2013
Last updated
08/10/2022
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