Lisa Marie Hanson, NP
Nurse Practitioner, Family in Sandy, UT. Individual provider (NPI-1).
NPI number1003530429
StatusActive
Last updated in NPPESOct 19, 2026
Details
- NPI
- 1003530429
- Entity type
- Individual (NPI-1)
- Name
- Lisa Marie Hanson
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2022
- Certification date
- Oct 19, 2026
- Last updated
- Oct 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F08220993 | UT | Yes |
| 207QA0505X | Family Medicine, Adult Medicine | 5984518-4405 | UT |
Practice location
10965 S State St Ste 115Sandy, UT 84070-4270
Phone 840-708-0188 · Fax 801-438-6360
Mailing address
10965 S State St Ste 115Sandy, UT 84070-4270
Phone 801-886-6104 · Fax 801-438-6360
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