Individual
ANDREW HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3448 S 3200 W, WEST VALLEY CITY, UT 84119-2628
(801) 359-2256
(801) 364-4392
Mailing address
13594 S HEATHER DAISY DR, HERRIMAN, UT 84096-3300
(661) 204-6732
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13933798-1206
UT
363A00000X
Physician Assistant
PA56261
CA
Other
Enumeration date
09/07/2016
Last updated
12/09/2025
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