| Doctor Name: | DEBRA L HANSEN |
| NPI Number: | 1083852719 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 4704200669 |
| Business Practice Address: | 3232 Navarre Ave Oregon, OH - 436163312 |
| Business Phone Number: | 4196910636 |
| Business Fax Number: | |
| Mailing Address: | 3232 Navarre Ave, OREGON |
| State: | OH |
| Postal Code: | 436163312 |
| Phone Number: | 4196910636 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2009 |
| NPI Last Update Date: | 09/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704200669 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |