Individual
KARLA LEEANN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2199 N MERRIT CRK LOOP, COEUR D ALENE, ID 83814-4949
(208) 665-7546
Mailing address
1220 S NEWER RD, SPOKANE VALLEY, WA 99037-9731
(509) 710-0990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
67775
ID
163W00000X
Registered Nurse
RN60717435
WA
363L00000X
Nurse Practitioner
Primary
67775
ID
363L00000X
Nurse Practitioner
AP61348708
WA
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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