Individual
MRS. MADIA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Contact information
Practice address
2301 ERWIN RD., DURHAM, NC 27705
(919) 668-0477
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5019588
NC
Other
Enumeration date
02/12/2024
Last updated
03/16/2024
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