Provider Demographics
NPI:1275803876
Name:HANLEY, ARTHUR BAXTER JR (RN)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:BAXTER
Last Name:HANLEY
Suffix:JR
Gender:M
Credentials:RN
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Mailing Address - Street 1:HAMPTON VA MEDICAL CTR
Mailing Address - Street 2:100 EMANCIPATION DR
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23667-0001
Mailing Address - Country:US
Mailing Address - Phone:757-722-9961
Mailing Address - Fax:757-728-7281
Practice Address - Street 1:HAMPTON VA MEDICAL CTR
Practice Address - Street 2:100 EMANCIPATION DR
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23667-0001
Practice Address - Country:US
Practice Address - Phone:757-722-9961
Practice Address - Fax:757-728-7281
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VARN 0001174185163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency