Individual
ANGELA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, IBCLC
Contact information
Practice address
1215 N BEAVER ST, FLAGSTAFF, AZ 86001-3126
(928) 773-2200
(928) 773-2300
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/27/2014
Last updated
09/10/2020
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