Individual
AMANDA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
30 MEDICAL PARK, SUITE 230, WHEELING, WV 26003
(304) 243-8300
(304) 243-8306
Mailing address
30 MEDICAL PARK, SUITE 230, WHEELING, WV 26003
(304) 243-8300
(304) 243-8306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
63452
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2452457
—
OH
05
—
7102329000
—
WV
Enumeration date
06/28/2006
Last updated
03/07/2023
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