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Individual

MEGAN CHRISTINE HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
1941 JOHNSON AVE STE 101, SAN LUIS OBISPO, CA 93401-4154
(805) 782-8844
(805) 782-8859
Mailing address
1941 JOHNSON AVE STE 101, SAN LUIS OBISPO, CA 93401-4154
(805) 782-8844
(805) 782-8859

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95108410
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95012146
CA

Other

Enumeration date
07/09/2019
Last updated
10/14/2024
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