Individual
AUDRA A HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
2000 E MILESTONE DR, APPLETON, WI 54913-6701
(920) 731-8131
(920) 832-0444
Mailing address
2000 E MILESTONE DR, APPLETON, WI 54913-6701
(920) 731-8131
(920) 832-0444
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
02/20/2024
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