Individual
TRACY LYNN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
74 E KIMBALLS LN STE 300, DRAPER, UT 84020-5009
(801) 572-0311
Mailing address
PO BOX 198560, ATLANTA, GA 30384-8560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
218060-4405
UT
Other
Enumeration date
04/07/2021
Last updated
04/01/2025
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