Bonnie Sue Hanson
Registered Nurse in Port Huron, MI. Individual provider (NPI-1).
NPI number1982176525
StatusActive
Last updated in NPPESDec 20, 2018
Details
- NPI
- 1982176525
- Entity type
- Individual (NPI-1)
- Name
- Bonnie Sue Hanson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 20, 2018
- Last updated
- Dec 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 4704226709 | MI | Yes |
Practice location
2916 Peavey StPort Huron, MI 48060-6987
Phone 810-990-5304
Mailing address
2916 Peavey StPort Huron, MI 48060-6987
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