Individual
SARA B HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3955 56TH ST S STE D, FARGO, ND 58104-4845
(701) 364-6600
(701) 364-6628
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-6600
(701) 364-6628
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R27559
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84143
—
ND
Enumeration date
02/02/2012
Last updated
05/18/2020
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