Gaylia Hanson
Individual provider Active NPI Registered Nurse · Richland, MI
NPI 1043094774 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1043094774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704122789 (MI)
- Practice address
- 10029 Wildwood CT
Richland, MI 49083-8532 - Phone
- (269) 501-5229
- NPI assigned
- Aug 23, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704122789 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704122789 | MI | Yes |
Addresses
Primary practice location
10029 Wildwood CT
Richland, MI 49083-8532
Mailing address
10029 Wildwood CT
Richland, MI 49083-8532
Other providers in Richland, MI
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- Dana P Hawkins
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- Kurt P Helgerson
- Joanne Hesler
All providers in Richland, MI · Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. 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.