Hansen, Phyllis Ann

Hansen, Phyllis Ann is an individual health care provider with primary practice located at 225 Physicians Park Suite 203, Poplar Bluff MO 63901-3935. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hansen, Phyllis Ann can be contacted via phone (573) 686-4750.

Contact Information

Primary practice address
225 Physicians Park Suite 203 Poplar Bluff MO 63901-3935
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 093219 Missouri

Profile Details

NPI number 1366536849
LBN Legal business name Hansen, Phyllis Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated May 14th, 2015 - about 11 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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