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NPI Code Detail

MEDICARE: DEBRA LEE HANSON FNP

MEDICARE: DEBRA LEE HANSON FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerRN315678GA
2363LA2200XAdult Health Nurse Practitioner1-191819AL
3363LF0000XFamily Nurse PractitionerNP8497CA

General Provider Information

NPI Number : 1912996893
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA LEE HANSON FNP
Provider Business Mailing Address
First Line : PO BOX 1801
Second Line :
City : SANTA MARIA
State : CA
Zip : 93456-1801
Country : US
Telephone Number : 805-801-2813
Fax Number : 805-934-6901
Provider Business Practice Location Address
First Line : 500 W FOSTER RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-3620
Country : US
Telephone Number : 805-934-6900
Fax Number : 805-934-6901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 02/01/2023

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