Individual
EMILY ANN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
308 W MARKET ST, CRAWFORDSVILLE, IN 47933-1632
(765) 362-6374
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28230756A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
28230756A
IN
363LP2300X
Primary Care Nurse Practitioner
2021038827
IN
Other
Enumeration date
10/07/2020
Last updated
01/27/2026
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