Individual
MRS. LOUISE O HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
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
Update your record
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