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Individual

MRS. CAROLYN ANN HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
186805
NC
367500000X
Certified Registered Nurse Anesthetist
054329
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8051707
NC
Enumeration date
02/13/2006
Last updated
05/11/2021
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