Individual
MRS. BLAINETTE U. HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH,MSN,APRN-C
Contact information
Practice address
185 N. BAKER ST., ELLENTON, GA 31747
(229) 324-2845
(229) 324-3383
Mailing address
6689 NEW RD, HAHIRA, GA 31632-4311
(229) 794-3196
(229) 794-3928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN096693
GA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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