Individual
CARA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3845 W 4700 S, TAYLORSVILLE, UT 84129-3454
(833) 577-3422
Mailing address
311 E SEAGULL LN, SARATOGA SPRINGS, UT 84045-5403
(208) 219-9563
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
63803
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11128503-8900
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2023
Last updated
07/21/2023
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