Individual
SCOTT ERIC HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1123 PACIFIC AVE, TACOMA, WA 98402-4303
(253) 682-6052
Mailing address
1123 PACIFIC AVE, TACOMA, WA 98402-4303
(253) 682-6052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60541983
WA
363LF0000X
Family Nurse Practitioner
ARNP 9324637
FL
Other
Enumeration date
03/23/2015
Last updated
04/15/2015
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