Provider Demographics
NPI:1316128994
Name:HANSON, DEBORAH N (CRNP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:N
Last Name:HANSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1048 WINDRUSH LN
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20860-1358
Mailing Address - Country:US
Mailing Address - Phone:301-537-4213
Mailing Address - Fax:
Practice Address - Street 1:900 OLNEY SANDY SPRING RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRING
Practice Address - State:MD
Practice Address - Zip Code:20860-1317
Practice Address - Country:US
Practice Address - Phone:301-260-7777
Practice Address - Fax:301-260-1314
Is Sole Proprietor?:No
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR064719363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics