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NPI Code Detail

MEDICARE: PATRICIA HANSON

MEDICARE: PATRICIA HANSON
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
1163W00000XRegistered Nurse458207OH

General Provider Information

NPI Number : 1417729054
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA HANSON
Provider Business Mailing Address
First Line : 12320 WOODWARD BLVD
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-3811
Country : US
Telephone Number : 216-632-3621
Fax Number :
Provider Business Practice Location Address
First Line : 12320 WOODWARD BLVD
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-3811
Country : US
Telephone Number : 216-632-3621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2023
Last Update Date : 10/26/2023

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Directions to “ PATRICIA HANSON ” Practice Location

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