Doctor Name: | KIMBERLEE HANSEN |
NPI Number: | 1023122785 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., AP/MHCNS |
License Number: | 98001 |
Business Practice Address: | 255 Spencer Rd Suite 201 Saint Peters, MO - 633762494 |
Business Phone Number: | 6369392550 |
Business Fax Number: | 6369392551 |
Mailing Address: | 255 Spencer Rd, Suite 201 SAINT PETERS |
State: | MO |
Postal Code: | 633762494 |
Phone Number: | 6369392550 |
Fax Number: | 6369392551 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 98001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |