Individual
CIERRA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-3000
Mailing address
2332 N 63RD PL, MESA, AZ 85215-2807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10656649-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
327018
AZ
Other
Enumeration date
05/22/2025
Last updated
08/15/2025
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