| NPI | 1700324795 |
|---|---|
| Former Legal Business Name | CAROL JOY HANSELMAN, NURSE PRACTITIONER, INC |
| Entity Type | Organization |
| Authorized Contact | CAROL J BENDER President 848-229-4452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 95000097) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2022-11-22 |