Individual
MR. MARK A. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
605 N GILBERT RD, MESA, AZ 85203-6629
(480) 398-1220
(480) 398-1230
Mailing address
1343 N ALMA SCHOOL RD, STE 160, CHANDLER, AZ 85224-5901
(480) 963-1853
(480) 963-1854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1758
AZ
Other
Enumeration date
11/07/2005
Last updated
09/21/2017
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