Individual
ALYSSA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1345 UNITY PL STE 355, LAFAYETTE, IN 47905-5761
(765) 807-7988
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 446-5417
(765) 446-5317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28205957A
IN
Other
Enumeration date
07/18/2019
Last updated
03/22/2021
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