Individual
AMANDA J. HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-3635
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3468-33
WI
363LF0000X
Family Nurse Practitioner
3468-33
WI
363LF0000X
Family Nurse Practitioner
R172584-7
MN
Other
Enumeration date
08/14/2008
Last updated
09/15/2020
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