Individual
TENNY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3000 COLLEGE DR, ROCK SPRINGS, WY 82901-4202
(307) 212-7708
(307) 352-8148
Mailing address
PO BOX 1359, ROCK SPRINGS, WY 82902-1359
(307) 212-7708
(307) 352-8148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28504
WY
363LF0000X
Family Nurse Practitioner
Primary
28504.1837
WY
Other
Enumeration date
06/11/2018
Last updated
01/23/2020
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