Individual
MRS. ASHLEY SUZANNE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2525 CHARLESTON RD STE 104, MOUNTAIN VIEW, CA 94043-1636
(307) 431-2245
(303) 649-3101
Mailing address
12093 MOSEY LN, PARKER, CO 80138-6318
(307) 431-2245
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95023606
CA
363LF0000X
Family Nurse Practitioner
3-000982
AL
363LF0000X
Family Nurse Practitioner
8078429-4405
UT
363LP2300X
Primary Care Nurse Practitioner
APN.0991222-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64155854
—
CO
01
—
COA108830
MEDICARE
CO
Enumeration date
01/19/2012
Last updated
01/25/2023
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