Individual
ANDREA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
306 S INDEPENDENCE ST, HARRISONVILLE, MO 64701-2352
(816) 380-4010
(816) 887-5703
Mailing address
306 S INDEPENDENCE ST, HARRISONVILLE, MO 64701-2352
(816) 380-4010
(816) 887-5703
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
06/24/2019
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