| Doctor Name: | CECILIA HANSFORD |
| NPI Number: | 1467416032 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP1555482 |
| Business Practice Address: | 3810 Highway 90 Pace, FL - 325711014 |
| Business Phone Number: | 8509941011 |
| Business Fax Number: | 8509940807 |
| Mailing Address: | Po Box 18868, PENSACOLA |
| State: | FL |
| Postal Code: | 325238868 |
| Phone Number: | 8509945660 |
| Fax Number: | 8509945841 |
| NPI Enumeration Date: | 04/12/2006 |
| NPI Last Update Date: | 02/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP1555482 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |