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Individual

MRS. SUSAN HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1839 FAIR AVE, HONESDALE, PA 18431-2121
(570) 251-6500
(570) 253-8174
Mailing address
1839 FAIR AVE, HONESDALE, PA 18431-2121
(570) 251-6500
(570) 253-8174

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
TP003833C
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TP003833C
CRNP LICENSE
PA
Enumeration date
10/18/2006
Last updated
07/08/2007
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