Hanson, Amber

Hanson, Amber is an individual health care provider with primary practice located at 7600 N Mineral Dr Ste 450 , Coeur D Alene ID 83815-7709. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hanson, Amber can be contacted via phone (208) 457-4208.

Contact Information

Primary practice address
7600 N Mineral Dr Ste 450 Coeur D Alene ID 83815-7709
Phone: (208) 457-4208
Fax: (208) 457-4197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP1421A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60446914 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP1421A Idaho

Profile Details

NPI number 1568887503
LBN Legal business name Hanson, Amber
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2014
Last updated Apr 13th, 2020 - about 6 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 1568887503 NPPES
Washington MEDICAID 2037373

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