Individual
CORRIE ELIZABETH HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
1700 TARBORO ST W STE 100, WILSON, NC 27893-3481
(252) 399-5314
(252) 399-5315
Mailing address
1705 TARBORO ST SW, WILSON, NC 27893-3428
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5013381
NC
Other
Enumeration date
08/03/2020
Last updated
03/20/2023
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