Individual
MS. CAMIE RACHELL HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7009
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-1652
(801) 442-1133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
325951-4405
UT
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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