Individual
AMBER DAWN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1100 CENRRAL AVE SE, ALBUQUERQUE, NM 87106
(505) 841-1234
Mailing address
3404 CRIMSON ROSE LANE, ALBUQUERQUE, NM 87121
(210) 445-6742
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1084949
TX
Other
Enumeration date
12/30/2008
Last updated
12/18/2013
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