Individual
MRS. ANNE BERNADETTE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A.
Contact information
Practice address
1526 ACKLIN DRIVE, PRESCOTT, AZ 86301
(928) 717-0888
Mailing address
1526 ACKLIN DRIVE, PRESCOTT, AZ 86301
(928) 717-0888
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
CNA1000036683
AZ
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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