Individual
BRENDA G HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1830 BLAKE AVENUE SUITE 208, GLENWOOD SPRINGS, CO 81601-4261
(970) 945-2238
(970) 928-8926
Mailing address
1906 BLAKE AVE, ATTN GABRIELA RAND- MEDICAL STAFF OFFICE, GLENWOOD SPRINGS, CO 81601-4227
(970) 384-7033
(970) 384-8173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
116964
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0996102-NP
CO
367A00000X
Advanced Practice Midwife
CNM4129
CO
Other
Enumeration date
12/05/2006
Last updated
04/30/2021
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