MEDICARE: HANSON PSYCHIATRIC NURSING, A PROFESSIONAL CORPORATION

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
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1720870074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANSON PSYCHIATRIC NURSING, A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	7026 SARONI DR
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-1419
Country	:	US
Telephone Number	:	510-393-2122
Fax Number	:

Provider Business Practice Location Address
First Line	:	7026 SARONI DR
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-1419
Country	:	US
Telephone Number	:	510-393-2122
Fax Number	:

Authorized Official
Title or Position	:	CEO & PRESIDENT
Name	:	CHARLENE HANSON
Credential	:
Telephone Number	:	510-393-2122

Provider Enumeration Date	:	05/21/2025
Last Update Date	:	02/17/2026

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