Individual
EMILY NORMA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3371 S PLAZA WAY, SALT LAKE CITY, UT 84109-4243
(801) 458-1407
Mailing address
3371 S PLAZA WAY, SALT LAKE CITY, UT 84109-4243
(801) 458-1407
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9401407-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
9401407-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
39
UT
Enumeration date
06/14/2021
Last updated
12/03/2022
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