Patricia Hanson, RN
Individual provider Active NPI Registered Nurse · Cliffwood, NJ
NPI 1003630336 · NPPES record last updated Nov 13, 2024
Key facts
- NPI
- 1003630336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 26NR14107500 (NJ)
- Practice address
- 111 State Route 35 Ste 7
Cliffwood, NJ 07721-1515 - Phone
- (732) 727-2555
- Fax
- (732) 566-2101
- NPI assigned
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR14107500 | NJ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Habit Opco, LLC | Current |
Accepting new patients | |
| Habit Opco, LLC | Past |
Accepting new patients | |
| Ats of Cecil County, LLC | Past | Accepting new patients |
Locations
111 State Route 35
Ste 7
Cliffwood, NJ 07721
Phone (732) 566-2101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR14107500 | NJ | Yes |
Addresses
Primary practice location
111 State Route 35 Ste 7
Cliffwood, NJ 07721-1515
Mailing address
111 Route 35 Ste 7
Cliffwood, NJ 07721-1515
Phone (732) 727-2555
Other providers in Cliffwood, NJ
- Lindsey Paige Frydman
- Joby K George
- Jeffrey David Goldfarb
- Habit Opco, LLC
- Rielle Marie Hambrose
- Kristina Maria Heredia I
- Steven Benjamin Hoffman
- Elizabeth Ianno
- Kehinde Williams Ibitola
- Ashley Starr Jackson
All providers in Cliffwood, NJ · Registered Nurse in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.