Individual
PEGGY ANN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MN, ARNP
Contact information
Practice address
8490 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-3206
(425) 356-6516
(425) 356-6515
Mailing address
8490 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-3206
(425) 356-6516
(425) 356-6515
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN00076386
WA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
AP30001528
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0863362
PROVID AETNA HM INTX
WA
01
—
106998100000
PIN PREMERA BLUE CROSS
WA
01
—
1168333
VENDOR # CIGNA
WA
01
—
169453
PROVID VALUE OPTIONS
WA
01
—
3715-01
PROVIDER ID PROVIDENCE HP
WA
01
—
A399010
VENDER # V.O. BOEING
WA
01
—
R51948
PIN REGENCE BLUE SHIELD
WA
Enumeration date
08/15/2006
Last updated
09/11/2025
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