Susan Amanda Hanson

NPI #1336446202 in Magnolia, Arkansas

Provider Information

NPI Number: 1336446202
Entity Type: Individual
Name: Susan Amanda Hanson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Feb 11, 2011
Last Updated: Jun 28, 2016

Practice Location

Address: 100 E UNIVERSITY
City: Magnolia
State: Arkansas
ZIP Code: 71753-2181
Phone: (870) 235-5254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary
Nurse Practitioner - Family — Family	363LF0000X

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