Hansen, Orrin Blake

Hansen, Orrin Blake is an individual health care provider with primary practice located at 1175 E 50 S Ste 241 , American Fork UT 84003-2849. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hansen, Orrin Blake can be contacted via phone (801) 492-5999.

Contact Information

Primary practice address
1175 E 50 S Ste 241 American Fork UT 84003-2849
Phone: (801) 492-5999
Fax: (801) 418-0897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 282878-4405 Utah

Profile Details

NPI number 1104916543
LBN Legal business name Hansen, Orrin Blake
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2006
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104916543 NPPES
Utah MEDICAID 1104916543

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