Doctor Name: | MRS. BLAINETTE U. HANSON |
NPI Number: | 1427116052 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPH,MSN,APRN-C |
License Number: | RN096693 |
Business Practice Address: | 185 N. Baker St. Ellenton, GA - 31747 |
Business Phone Number: | 2293242845 |
Business Fax Number: | 2293243383 |
Mailing Address: | 6689 New Rd, HAHIRA |
State: | GA |
Postal Code: | 316324311 |
Phone Number: | 2297943196 |
Fax Number: | 2297943928 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN096693 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |