Individual
DENISE MIRA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
997 OLD US HWY 70 W STE A, BLACK MOUNTAIN, NC 28711-4505
(828) 698-7981
(828) 298-6010
Mailing address
997 OLD US HWY 70 W STE A, BLACK MOUNTAIN, NC 28711-4505
(828) 298-7981
(828) 698-6010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201689
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7950486
—
NC
Enumeration date
06/01/2006
Last updated
07/02/2019
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