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Individual

ANNA M HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
619 5TH STREET, DURANT, IA 52747
(563) 785-4487
(563) 785-6681
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(359) 355-3419

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001239
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
077614
HEALTH ALLIANCE
01
150016
IOWA HEALTH SOLUTIONS
01
4796890001
DMERC
01
IA0173
JOHN DEERE HEALTH PLAN
Enumeration date
06/23/2005
Last updated
06/02/2021
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