MARY HANSON NP NPI 1740275650

NPI Information

NPI: 1740275650
Provider Name: MARY HANSON, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1 PEARL ST
STE 1400
BROCKTON, MA
ZIP 02301
Phone: (508) 897-6030
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Mary Hanson, NP is a family nurse practitioner in Brockton, MA. Mary Hanson, NP NPI is 1740275650. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 PEARL ST
STE 1400
BROCKTON, MA
ZIP 02301-864
Phone: (508) 897-6030
Fax: (508) 897-6015

The enumeration date for this NPI number is 9/16/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	206301	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	NPH1145	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	S57126	MEDICARE UPIN
3	0706400	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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