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Individual

SUSAN L HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MSN

Contact information

Practice address
2023 S 17TH ST, WILMINGTON, NC 28401-6600
(910) 796-3129
Mailing address
2419 CHESTNUT ST, WILMINGTON, NC 28405-2928
(910) 763-2510

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
89036
NC

Other

Enumeration date
03/15/2007
Last updated
07/08/2007
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