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NPI Code Detail

MEDICARE: MRS. KRISTINE G HANSON P.N.P

MEDICARE:  MRS. KRISTINE G HANSON  P.N.P
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
1363LP0200XPediatric Nurse PractitionerF380201NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134195886
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTINE G HANSON P.N.P
Provider Business Mailing Address
First Line : 341 ENGLEWOOD AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2819
Country : US
Telephone Number : 716-833-2333
Fax Number : 716-833-3972
Provider Business Practice Location Address
First Line : 341 ENGLEWOOD AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2819
Country : US
Telephone Number : 716-833-2333
Fax Number : 716-833-3972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 07/08/2007

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