Individual
COLLEEN HANESIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 CAMP ST, HYANNIS, MA 02601-3063
(508) 775-1984
(508) 790-1897
Mailing address
100 CAMP ST, HYANNIS, MA 02601-3063
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2259205
MA
Other
Enumeration date
07/21/2017
Last updated
03/04/2026
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