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Ms. Amanda Nicole Hanson, NP-C
Family Nurse Practitioner in Gautier, Mississippi
NPI 1619214541

Amanda Nicole Hanson is a Family Nurse Practitioner based in Gautier, MS and is specialized in Family. Amanda Nicole Hanson practices in Gautier, MS and has the professional credentials of NP-C. The NPI Number for Amanda Nicole Hanson is 1619214541 and holds a License No. R875468 (Mississippi).

The current practice location address for Amanda Nicole Hanson is 6510 Highway 90 Ste A, Gautier, MS and can be reached out via phone at 228-822-6148.

Location: 6510 Highway 90 Ste A, Gautier, MS, 39553-5015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619214541
Provider Name
Amanda Nicole Hanson
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
6510 Highway 90 Ste A, Gautier, MS, 39553-5015
Phone Number
228-822-6148
Fax Number
Provider Enumeration Date
01/11/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
087588233 05 MS
385845YSCQ 01 MS MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
6510 Highway 90 Ste A
City
Gautier
State
Mississippi
Zip
39553-5015
Phone Number
228-822-6148
Fax Number
person
Provider Business Mailing Address Details
Address
6510 Highway 90 Ste A
City
Gautier
State
Mississippi
Zip
39553-5015
Phone Number
228-822-6148
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R875468 (Mississippi)
Definition
Definition to come...
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