KELLY RAE HANSON

PRESCOTT, AZ
NPI1467134569
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  295242)
Enumeration Date2023-08-07
Last Update Date2023-08-07
Business Address
Mrs. KELLY RAE HANSON PMHNP
500 HIGHWAY 89 NORTH
PRESCOTT, AZ 86313-5001
Phone number: 928-445-4860
Mailing Address
Mrs. KELLY RAE HANSON PMHNP
62 WOODSIDE DR
PRESCOTT, AZ 86305-5090
Phone number: 928-432-5111