Individual
SARAH HANSEN
Active
Individual
SARAH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
91573
WV
163W00000X
Registered Nurse
RN243024
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN91573-AGPCNP-BC
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134582281
—
WV
Enumeration date
04/05/2016
Last updated
05/21/2020
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