Individual
HEATHER LYNN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, AG-ACNP-BC
Contact information
Practice address
98 ROUNTREE DR, CEDAR CITY, UT 84720-3531
(801) 427-4239
Mailing address
98 ROUNTREE DR, CEDAR CITY, UT 84720-3531
(801) 427-4239
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
6590677-8900
UT
363LF0000X
Family Nurse Practitioner
Primary
6590677-4405
UT
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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