Individual
SHELIA M HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E SWANSON AVE STE 5, WASILLA, AK 99654-7197
(907) 373-1000
(888) 588-5194
Mailing address
PO BOX 513, WILLOW, AK 99688-0513
(907) 373-1000
(888) 588-5194
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1614524
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1614524
—
AK
Enumeration date
03/28/2018
Last updated
06/16/2018
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