Provider Demographics
NPI:1083180327
Name:HANSSEN, LOUISE POTTER (DNP, CRNP-AC)
Entity Type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:POTTER
Last Name:HANSSEN
Suffix:
Gender:F
Credentials:DNP, CRNP-AC
Other - Prefix:MS
Other - First Name:LOUISE
Other - Middle Name:POTTER
Other - Last Name:SENFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:152 BRANDON RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-1127
Mailing Address - Country:US
Mailing Address - Phone:410-428-0403
Mailing Address - Fax:
Practice Address - Street 1:6701 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-6808
Practice Address - Country:US
Practice Address - Phone:443-849-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-14
Last Update Date:2018-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR196203363LP0222X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care