Hansen, Amanda

Hansen, Amanda is an individual health care provider with primary practice located at 58 Carroll St Room 2037, Lebanon VA 24266. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hansen, Amanda can be contacted via phone (276) 883-8062.

Contact Information

Primary practice address
58 Carroll St Room 2037 Lebanon VA 24266
Phone: (276) 883-8062
Fax: (276) 883-8064
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024171702 Virginia

Profile Details

NPI number 1841694486
LBN Legal business name Hansen, Amanda
Credentials F.N.P.-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2014
Last updated Feb 7th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841694486 NPPES
Virginia MEDICAID 1841694486
Virginia MEDICAID Q014850

Popular Providers