Individual
MS. DEBRA G. HANISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
750 WELCH RD, #305, PALO ALTO, CA 94304-1507
(650) 498-7990
(650) 724-4922
Mailing address
750 WELCH RD STE 305, PALO ALTO, CA 94304-1510
(650) 498-7990
(650) 724-4922
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP10463
CA
Other
Enumeration date
11/02/2005
Last updated
02/29/2012
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