Individual
SAMANTHA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2136 W M-32, GAYLORD, MI 49735
(989) 732-1791
(989) 732-7052
Mailing address
2136 W M-32, GAYLORD, MI 49735
(989) 732-1791
(989) 732-7052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704286324
MI
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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