Individual
ISAAC JAMES HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
5848 S FASHION BLVD STE 110, SALT LAKE CITY, UT 84107-6175
(385) 449-3077
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7664611-4405
UT
Other
Enumeration date
04/11/2022
Last updated
03/15/2024
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