Individual
ADIA MAREN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 561-8888
(801) 561-8888
Mailing address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 561-8888
(801) 561-8888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
12296738-3102
UT
164W00000X
Licensed Practical Nurse
122967383101
UT
Other
Enumeration date
07/14/2021
Last updated
06/08/2023
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