Individual
EVA R HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 458-2628
(907) 458-2682
Mailing address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 459-3500
(907) 458-2682
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
612
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDA0007
—
AK
01
—
P00812633
MEDICARE RAILROAD
AK
Enumeration date
09/20/2006
Last updated
03/07/2023
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