Organization
PHOENIX HEALTHCARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA HANSON NP (APRN)
(913) 549-8197
Entity
Organization
Contact information
Practice address
11960 QUIVIRA ROAD, SUITE #100, OVERLAND PARK, KS 66213
(913) 851-0500
(913) 851-0502
Mailing address
11960 QUIVIRA ROAD, SUITE #100, OVERLAND PARK, KS 66213
(913) 851-0500
(913) 851-0502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100344690D
—
KS
05
—
1174628994
—
MO
05
—
1275868622
—
MO
05
—
200530820A
—
KS
Enumeration date
10/17/2011
Last updated
10/17/2011
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