Individual
HANNAH BEATE THOMSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2310 N 400 E, LOGAN, UT 84341-1788
(435) 774-8516
Mailing address
2310 N 400 E, LOGAN, UT 84341-1788
(435) 774-8516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
277575-4405
UT
363L00000X
Nurse Practitioner
59590
ID
363LF0000X
Family Nurse Practitioner
Primary
364302-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364302-4405
LICENSE
UT
Enumeration date
08/07/2018
Last updated
04/13/2022
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