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CECILIA HANSFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3810 HIGHWAY 90, PACE, FL 32571-1014
(850) 994-1011
(850) 994-0807
Mailing address
PO BOX 18868, PENSACOLA, FL 32523-8868
(850) 994-5660
(850) 994-5841

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP1555482
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
304615000
FL
01
500026770
RAILROAD MEDICARE
FL
01
59167876
BCBS AL
AL
01
Y1276
BCBS FL
FL
Enumeration date
04/12/2006
Last updated
02/26/2010
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