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Individual

SUE HANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1818 E US HIGHWAY 90, WAELDER, TX 78959-4001
(830) 778-7280
(830) 778-7623
Mailing address
PO BOX 587, GONZALES, TX 78629-0587
(830) 672-7581
(830) 672-8481

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
248926
TX
363L00000X
Nurse Practitioner
Primary
124097
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9772572825
CME
TX
01
FO713269
AANP
TX
Enumeration date
02/14/2013
Last updated
04/13/2023
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