Individual
ERIK SHANE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5994
(801) 213-4500
Mailing address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5994
(801) 213-4500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9133429-4405
UT
Other
Enumeration date
07/23/2019
Last updated
11/02/2021
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