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Individual

MRS. LOUISE O HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2002 MEDICAL PKWY, 520, ANNAPOLIS, MD 21401-3046
(410) 573-8430
(410) 573-5981
Mailing address
2002 MEDICAL PKWY, 520, ANNAPOLIS, MD 21401-3046
(410) 573-8430
(410) 573-5981

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0363195
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
066M
MEDICARE GROUP
MD
01
409629
MEDICARE GROUP
DC
01
CD0361
RAILROAD MEDICARE GROUP
MD
Enumeration date
01/18/2007
Last updated
10/24/2007
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