Individual
EILEEN B HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.N.
Contact information
Practice address
1401 WILLIAM ST SE, ALBUQUERQUE, NM 87102-4661
(505) 205-4053
Mailing address
508 WESTERN SKIES DR SE, ALBUQUERQUE, NM 87123-3776
(505) 205-4053
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
LN-1099
NM
133NN1002X
Nutrition Education Nutritionist
LN-1099
NM
172V00000X
Community Health Worker
Primary
G-1929
NM
Other
Enumeration date
09/03/2025
Last updated
02/03/2026
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