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Individual

EMILY J HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
755 HIGHWAY 105 STE D, PALMER LAKE, CO 80133-8902
(719) 235-3504
Mailing address
7856 MORNING DEW RD, COLORADO SPRINGS, CO 80908-5637
(719) 235-3504

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN.1638315
CO
163WH0200X
Home Health Registered Nurse
Primary
RN.1638315
CO

Other

Enumeration date
07/15/2021
Last updated
07/15/2021
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