Hansen, Kimberly A
Hansen, Kimberly A is an individual health care provider with primary practice located at 109 W Bland St , Roswell NM 88203-5708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hansen, Kimberly A can be contacted via phone (575) 623-1303.Contact Information
Primary practice address
109 W Bland St
Roswell NM 88203-5708
Phone: (575) 623-1303
Fax: (575) 622-1303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R33452 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | CNP00691 | New Mexico |
Profile Details
| NPI number | 1073523478 |
|---|---|
| LBN Legal business name | Hansen, Kimberly A |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Feb 4th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073523478 | NPPES |
| New Mexico | Other | R33452 | STATE LICENSE NUMBER |
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