NPI | 1508408840 |
---|---|
Other Name | FELICIA NICOLE HANSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11002993) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002993) |
Enumeration Date | 2019-10-08 |
Last Update Date | 2024-04-24 |