Individual
DEBRA J. HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
600 MOYE BLVD, ECU PHYSICIANS OBSTETRICS & GYNECOLOGY, GREENVILLE, NC 27834-4300
(252) 744-2350
(252) 744-2967
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
254499
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221238
UNISON
OH
01
—
000000509165
ANTHEM
OH
05
—
2155288
—
OH
01
—
363610
WELLCARE
OH
05
—
7002243
—
NC
01
—
738060
BUCKEYE
OH
01
—
7599170
AETNA
OH
Enumeration date
07/13/2006
Last updated
01/14/2013
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