Hansen, Madeline Marie

Hansen, Madeline Marie is an sole proprietor health care provider with primary practice located at 1250 E 3900 S Ste 260 , Slc UT 84124-1371. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hansen, Madeline Marie can be contacted via phone (801) 879-5900.

Contact Information

Primary practice address
1250 E 3900 S Ste 260 Slc UT 84124-1371
Phone: (801) 879-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 108776233102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10877623-4405 Utah

Profile Details

NPI number 1437773751
LBN Legal business name Hansen, Madeline Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2020
Last updated Nov 17th, 2021 - 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.

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