Individual
ANDREA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
305 W MAIN ST, SEDALIA, MO 65301-3821
(660) 310-0909
(888) 979-8868
Mailing address
305 W MAIN ST, SEDALIA, MO 65301-3821
(660) 310-0909
(888) 979-8868
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019021634
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019021634
MISSOURI LICENSE
MO
Enumeration date
06/24/2019
Last updated
06/10/2026
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