Hansen, Kristina R

Hansen, Kristina R is an individual health care provider with primary practice located at 611 31St Ave Sw , Puyallup WA 98373-3723. 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, Kristina R can be contacted via phone (253) 848-5951.

Contact Information

Primary practice address
611 31St Ave Sw Puyallup WA 98373-3723
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60782628 Washington

Profile Details

NPI number 1154846335
LBN Legal business name Hansen, Kristina R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2017
Last updated Aug 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154846335 NPPES
Washington MEDICAID 0000000000000

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