Individual
MARILYN R HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4310 RICHMOND RD, CENTER FOR SKILLED NURSING CARE, HIGHLAND HILLS, OH 44122-6106
(216) 464-9500
Mailing address
4310 RICHMOND RD, CENTER FOR SKILLED NURSING CARE, HIGHLAND HILLS, OH 44122-6106
(216) 464-9500
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP02348
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2067409
—
OH
Enumeration date
07/20/2006
Last updated
07/08/2007
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