Individual
MR. THOMAS M HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
450 S KITSAP BLVD, SUITE 200, PORT ORCHARD, WA 98366-3773
(360) 744-6250
(360) 744-6296
Mailing address
2520 CHERRY AVE, BREMERTON, WA 98310-4229
(360) 744-6250
(360) 744-6296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30004737
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9622242
—
WA
Enumeration date
01/19/2007
Last updated
01/23/2012
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