Provider Demographics
NPI:1548597909
Name:HANSON, SANDRA CHRISTINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:CHRISTINE
Last Name:HANSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5363 SR 348
Mailing Address - Street 2:
Mailing Address - City:BLUE CREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45616-9723
Mailing Address - Country:US
Mailing Address - Phone:937-544-2006
Mailing Address - Fax:
Practice Address - Street 1:5363 SR 348
Practice Address - Street 2:
Practice Address - City:BLUE CREEK
Practice Address - State:OH
Practice Address - Zip Code:45616-9723
Practice Address - Country:US
Practice Address - Phone:937-544-2006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-245989163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse