Doctor Name: | MRS. SARAH ELIZABETH HANSEN |
NPI Number: | 1154755528 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | 4704267379 |
Business Practice Address: | 202 E Van Riper Rd Suite 100 Fowlerville, MI - 488367947 |
Business Phone Number: | 5172237900 |
Business Fax Number: | 5172237635 |
Mailing Address: | 202 E Van Riper Rd, Suite 100 FOWLERVILLE |
State: | MI |
Postal Code: | 488367947 |
Phone Number: | 5172237900 |
Fax Number: | 5172237635 |
NPI Enumeration Date: | 08/21/2013 |
NPI Last Update Date: | 08/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704267379 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |