Individual
MR. ORRIN BLAKE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1175 E 50 S STE 241, AMERICAN FORK, UT 84003-2849
(801) 492-5999
(801) 418-0897
Mailing address
58 N 750 E, AMERICAN FORK, UT 84003-2086
(801) 850-2434
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
282878-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104916543
—
UT
Enumeration date
10/14/2006
Last updated
01/09/2026
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