Individual
MADELINE HANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
1104 FOXWOOD DR, SEVIERVILLE, TN 37862-6000
(865) 970-9800
Mailing address
1104 FOXWOOD DR, SEVIERVILLE, TN 37862-6000
(865) 970-9800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196953
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024059889
TN
Other
Enumeration date
07/13/2023
Last updated
08/07/2024
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