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Individual

MRS. AUTUMN ROSE HANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP-C

Contact information

Practice address
9547 N KINGS HWY, MYRTLE BEACH, SC 29572-4039
(843) 429-8465
Mailing address
232 CYPRESS TREE LOOP, LONGS, SC 29568-6768
(845) 249-5303

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
29860
SC

Other

Enumeration date
01/14/2025
Last updated
01/27/2025
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