Individual provider · Type 1 NPI

Phyllis Ann Hansen, NP

Nurse Practitioner · Poplar Bluff, MO

NPI number 1366536849 Active

Practice location

225 Physicians Park, Suite 203
Poplar Bluff, MO 63901-3935

Mailing address

PO Box 760
Poplar Bluff, MO 63902-0760

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X093219 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1366536849

Phyllis Ann Hansen, NP's National Provider Identifier is 1366536849, issued on Oct 2, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Poplar Bluff, MO. The record was last updated on May 14, 2015.