Amanda Hansen, NP
Nurse Practitioner, Family in Atlanta, GA. Individual provider (NPI-1).
NPI number1366893000
StatusActive
Last updated in NPPESJun 23, 2016
Details
- NPI
- 1366893000
- Entity type
- Individual (NPI-1)
- Name
- Amanda Hansen
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2016
- Last updated
- Jun 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN240652 | GA | Yes |
Practice location
1000 Johnson Fy Rd NeAtlanta, GA 30342-1606
Phone 404-851-8917
Mailing address
1000 Johnson Fy Rd NeAtlanta, GA 30342-1606
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