Hansen, Mark Duane

Hansen, Mark Duane is an individual health care provider with primary practice located at 20070 Audrey Ln , Prunedale CA 93907-8407. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Pediatrics. Nursing Service Providers / Registered Nurse is his primary health care specialty. Hansen, Mark Duane can be contacted via phone (801) 381-1719.

Contact Information

Primary practice address
20070 Audrey Ln Prunedale CA 93907-8407
Phone: (801) 381-1719
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 747144 California
Nursing Service Providers / Pediatrics 163WP0200X 747144 California

Profile Details

NPI number 1063847077
LBN Legal business name Hansen, Mark Duane
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2013
Last updated Sep 10th, 2013 - about 12 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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