Individual
MRS. AMY RACHELLE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5075 LINCOLN ST, DENVER, CO 80216-2015
(303) 458-5302
Mailing address
5075 LINCOLN ST., DENVER, CO 80216
(303) 458-5302
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1412
CO
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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