Hanson, Amanda

Hanson, Amanda is an individual health care provider with primary practice located at 30 Medical Park Suite 230, Wheeling WV 26003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hanson, Amanda can be contacted via phone (304) 243-8300.

Contact Information

Primary practice address
30 Medical Park Suite 230 Wheeling WV 26003
Fax: (304) 243-8306
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 63452 West Virginia

Profile Details

NPI number 1962430223
LBN Legal business name Hanson, Amanda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 7th, 2023 - about last year

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 1962430223 NPPES
Ohio MEDICAID 2452457
Ohio MEDICAID 7102329000

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