Individual
MS. MARGO ELIZABETH HANLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
5 BON AIR ROAD, STE. 105, LARKSPUR, CA 94939
(415) 461-0440
(415) 461-3792
Mailing address
5 BON AIR ROAD, STE. 105, LARKSPUR, CA 94939
(415) 461-0440
(415) 461-3792
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024170555
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
95002831
CA
Other
Enumeration date
02/04/2013
Last updated
01/06/2016
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