Carol Beverly Hanson in Milwaukee - Psychiatric/mental Health, Adult

Carol Beverly Hanson - NPI 1134264815

Carol Beverly Hanson is a Psychiatric/mental Health, Adult in Milwaukee, Wisconsin. Carol Beverly Hanson practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Carol Beverly Hanson is 1134264815. The last update date is 2007-07-08.

Carol Beverly Hanson's current location address is 4929 W Fond Du Lac Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4148716122 and fax number 4148712552. The mailing address for Carol Beverly Hanson is 4929 W Fond Du Lac Ave, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol Beverly Hanson
Address 4929 W Fond Du Lac Ave, Milwaukee, Wisconsin
Phone Number 4148716122
Fax Number 4148712552
Sole Proprietor N
Credentials R.N.

NPI Number Detail

NPI Number 1134264815
Provider Enumeration Date 2007-02-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4929 W Fond Du Lac Ave
City Milwaukee
State Wisconsin (WI)
Post Code 532162324
Phone Number 4148716122
Fax Number 4148712552

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 163Wp0809X
Licence No 120740-30
Definition:
A psychiatric nurse who cares for adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
120740-30 WI REGISTERED NURSE

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FAQs about Carol Beverly Hanson

What is the Carol Beverly Hanson's unique identification number?

The Carol Beverly Hanson has been assigned the NPI (National Provider Identifier) Number 1134264815 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Carol Beverly Hanson is physically located?

The Carol Beverly Hanson is physically situated at the following address: 4929 W Fond Du Lac Ave, Milwaukee, WI, 532162324.

What is the Carol Beverly Hanson's area of specialization and corresponding taxonomy classification?

The Carol Beverly Hanson's specialty field is Psychiatric/mental Health, Adult, and it falls under the taxonomy code 163Wp0809X, which categorizes healthcare providers based on their specialties.

On what date did Carol Beverly Hanson receive its 1134264815 assignment from the Centers for Medicare & Medicaid Services?

The Carol Beverly Hanson was assigned its 1134264815 on 2007-02-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Carol Beverly Hanson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Carol Beverly Hanson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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