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Individual
MR. BRIAN J. HANSEN
Active
Individual
MR. BRIAN J. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024190492
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
14281-33
WI
Other
Enumeration date
08/25/2023
Last updated
08/06/2024
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