| Doctor Name: | MARILYN R HANSEN |
| NPI Number: | 1396765772 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | NP02348 |
| Business Practice Address: | 4310 Richmond Rd Center For Skilled Nursing Care Highland Hills, OH - 441226106 |
| Business Phone Number: | 2164649500 |
| Business Fax Number: | |
| Mailing Address: | 4310 Richmond Rd, Center For Skilled Nursing Care HIGHLAND HILLS |
| State: | OH |
| Postal Code: | 441226106 |
| Phone Number: | 2164649500 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | NP02348 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |