Individual
MATTHEW NIELS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4515 PREMIER DR, HIGH POINT, NC 27265-8357
(336) 802-2250
Mailing address
820 LARKWOOD DR, GREENSBORO, NC 27410-3447
(801) 866-6415
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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