Kayla Renee Hanson, CNP | |
859 N Main St, Malta, OH 43758-9007 | |
(740) 962-6111 | |
Not Available |
Full Name | Kayla Renee Hanson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 859 N Main St, Malta, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982272555 | NPI | - | NPPES |
0029074 | Other | OH | OHIO BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 106915 (West Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0029074 (Ohio) | Primary |
Entity Name | Muskingum Valley Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205018348 PECOS PAC ID: 4789760216 Enrollment ID: O20080618000216 |
Mailing Address | Practice Location Address |
---|---|
Kayla Renee Hanson, CNP 859 N Main St, Malta, OH 43758-9007 Ph: (740) 962-6111 | Kayla Renee Hanson, CNP 859 N Main St, Malta, OH 43758-9007 Ph: (740) 962-6111 |
Heather Marie Gillespie, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 859 N Main St, Malta, OH 43758 Phone: 740-962-6111 Fax: 740-962-2182 | |
Macey Dodd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 859 N Main St, Malta, OH 43758 Phone: 740-891-9000 | |
Samantha A Kanavel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 859 N Main St, Malta, OH 43758 Phone: 740-891-9000 |