Organization
HANSEN FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA COTTON HANSEN APRN, FNP-C (OWNER)
(406) 866-0280
Entity
Organization
Contact information
Practice address
2300 12TH AVE S STE 10, GREAT FALLS, MT 59405-5017
(406) 866-0280
(406) 866-0270
Mailing address
2300 12TH AVE S STE 10, GREAT FALLS, MT 59405-5017
(406) 866-0280
(406) 866-0270
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
100564
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821407347
NPI
MT
Enumeration date
06/17/2016
Last updated
06/17/2016
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