| NPI | 1508165739 |
|---|---|
| Former Name | AMY N HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011007236) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2011007236) |
| 163W00000X Registered Nurse (Licence: MO 2003009690) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2021-03-05 |