Individual
JENS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
801 OSTRUM STREET, ST. LUKES HOSPITAL, BETHLEHEM, PA 18015
(610) 954-1103
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-1103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP010055
PA
Other
Enumeration date
05/15/2009
Last updated
04/22/2011
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