Healthcare Provider Details

I. General information

NPI: 1336056282
Provider Name (Legal Business Name): KALEIGH NICOLE HANSON SRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 PATRIOTS POINTE DR
HILLSBOROUGH NC
27278-9019
US

IV. Provider business mailing address

912 PATRIOTS POINTE DR
HILLSBOROUGH NC
27278-9019
US

V. Phone/Fax

Practice location:
  • Phone: 252-342-4082
  • Fax:
Mailing address:
  • Phone: 252-342-4082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number358282
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: