Individual
KRYSTAL C HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 WEST ST STE 118, PERU, IL 61354-2765
(815) 434-4387
Mailing address
920 WEST ST STE 118, PERU, IL 61354-2765
(815) 434-4382
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.031719
IL
Other
Enumeration date
05/12/2025
Last updated
11/14/2025
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