IAN HANSEN

SYRACUSE, UT
NPI1518721695
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  9100218-4405)
Enumeration Date2024-02-09
Last Update Date2024-10-29
Business Address
IAN HANSEN FNP
1386 S 1025 W
SYRACUSE, UT 84075-9868
Phone number: 801-866-2754
Mailing Address
IAN HANSEN FNP
3500 HARRISON BLVD STE 200
OGDEN, UT 84403-2038
Phone number: 385-626-6386
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