Provider Demographics
NPI:1265746911
Name:HANSE, CAROL ANN (DNP, RN, APN,)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANN
Last Name:HANSE
Suffix:
Gender:F
Credentials:DNP, RN, APN,
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:DUNNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, RN, APN
Mailing Address - Street 1:180 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-1157
Mailing Address - Country:US
Mailing Address - Phone:973-523-5072
Mailing Address - Fax:
Practice Address - Street 1:180 MAPLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-1157
Practice Address - Country:US
Practice Address - Phone:973-523-5072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN03965500363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health