| Doctor Name: | MRS. CORY ANN HANSEN |
| NPI Number: | 1467693473 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S, R.D. |
| License Number: | 6077176-4901 |
| Business Practice Address: | 2055 N Main St Tooele, UT - 840749819 |
| Business Phone Number: | 4358433600 |
| Business Fax Number: | |
| Mailing Address: | 854 Lakeview, STANSBURY PARK |
| State: | UT |
| Postal Code: | 840741901 |
| Phone Number: | 4357708979 |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2009 |
| NPI Last Update Date: | 03/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 6077176-4901 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |