Individual provider · NPI-1
Tenny Hanson, FNP
Nurse Practitioner, Family · Rock Springs, WY
NPI number1790278141
StatusActive
Last updated in NPPESJan 23, 2020
Details
- NPI
- 1790278141
- Entity type
- Individual (NPI-1)
- Name
- Tenny Hanson
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2018
- Certification date
- Jan 23, 2020
- Last updated
- Jan 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 28504.1837 | WY | Yes |
| 163W00000X | Registered Nurse | 28504 | WY |
Other names
- Tenny Davis (Other Name)
Practice location
3000 College DrRock Springs, WY 82901-4202
Phone 307-212-7708 · Fax 307-352-8148
Mailing address
Po Box 1359Rock Springs, WY 82902-1359
Phone 307-212-7708 · Fax 307-352-8148
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