Individual
STEPHANIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 W 1ST AVE, TOPPENISH, WA 98948-1564
(509) 865-5600
(509) 865-5783
Mailing address
510 W 1ST AVE, TOPPENISH, WA 98948-1564
(509) 865-5600
(509) 865-5783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1271
NV
207R00000X
Internal Medicine Physician
4222
AZ
207R00000X
Internal Medicine Physician
Primary
TO61127519
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
938425
—
AZ
Enumeration date
05/06/2006
Last updated
03/02/2021
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