# PEGGY ANN HANSEN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1801909031
- **Gender:** F
- **Credential:** MN, ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | RN00076386 | WA | Yes |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | AP30001528 | WA | — |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0863362 | PROVID AETNA HM INTX | WA |
| 01 | — | 106998100000 | PIN PREMERA BLUE CROSS | WA |
| 01 | — | 1168333 | VENDOR \# CIGNA | WA |
| 01 | — | 169453 | PROVID VALUE OPTIONS | WA |
| 01 | — | 3715-01 | PROVIDER ID PROVIDENCE HP | WA |
| 01 | — | A399010 | VENDER \# V.O. BOEING | WA |
| 01 | — | R51948 | PIN REGENCE BLUE SHIELD | WA |