Individual
AMANDA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFICATE
Contact information
Practice address
1923 N MAIN ST APT 6, SHERIDAN, WY 82801-2572
(307) 620-5901
Mailing address
1923 N MAIN ST APT 6, SHERIDAN, WY 82801-2572
(307) 620-5901
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
184483407
WY
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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