Individual
MRS. ESTHER GRACE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1136 E STUART ST STE 2240, FORT COLLINS, CO 80525-5315
(970) 430-5489
Mailing address
1136 E STUART ST STE 2240, FORT COLLINS, CO 80525-5315
(970) 430-5489
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
979816
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
979816
LICENSE NUMBER
CO
Enumeration date
06/15/2009
Last updated
01/21/2020
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