Individual
DONNA MARIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
474 MAIN ST, SPRINGVALE, ME 04083-1409
(207) 324-1500
(207) 490-5263
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 661-6654
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN36900
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280390099
—
ME
Enumeration date
07/31/2006
Last updated
07/13/2016
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