Individual
ALEXIS J HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 2ND AVE W, WILLISTON, ND 58801-5218
(701) 774-4658
(701) 774-4620
Mailing address
PO BOX 1266, 316 2ND AVE W, WILLISTON, ND 58802-1266
(701) 774-4658
(701) 774-4620
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54516
—
ND
Enumeration date
12/30/2011
Last updated
12/30/2011
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