Individual
CLARENE TOWNSEND HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1055 N 500 W STE 212, PROVO, UT 84604
(801) 374-2362
(801) 429-8196
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
331970-4405
UT
363L00000X
Nurse Practitioner
Primary
3319704405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870281028000
—
UT
Enumeration date
05/03/2006
Last updated
11/27/2023
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