| NPI | 1790962041 |
|---|---|
| Former Name | MELISSA MAY HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP117247) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: UT 5234444-3102RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 5234444-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 5234444-4405APRN) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN CNP2945) | |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2020-08-27 |