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Individual

MARK ROY HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1701 INNOVATION DR, YORK, PA 17408-8815
(574) 849-3193
Mailing address
105 COLVARD CT, FOREST HILL, MD 21050-1531
(574) 849-3193

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
074055
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN768704
PA

Other

Enumeration date
06/02/2006
Last updated
10/10/2025
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