Individual
MRS. MARY PAT HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1114 W MAIN ST, SOUTH VALLEY PEDIATRICS, HAMILTON, MT 59840
(406) 363-5013
(406) 363-3714
Mailing address
1114 W MAIN ST, SOUTH VALLEY PEDIATRICS, HAMILTON, MT 59840
(406) 363-5013
(406) 363-3714
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN 31255
MT
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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