Hansen, Larae Jean

Hansen, Larae Jean is an individual health care provider with primary practice located at 7805 Redondo St , Ventura CA 93004-3814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hansen, Larae Jean can be contacted via phone (805) 452-8436.

Contact Information

Primary practice address
7805 Redondo St Ventura CA 93004-3814
Phone: (805) 452-8436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95015281 California

Profile Details

NPI number 1184221798
LBN Legal business name Hansen, Larae Jean
Credentials MSN, PNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2020
Last updated Oct 6th, 2020 - about 4 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 1184221798 NPPES
California Other 95015281 NP LICENSE

Popular Providers