Individual provider · Type 1 NPI

Kelly Hanson

School Registered Nurse · Phoenix, AZ

NPI number 1376776146 Active

Practice location

20402 N 15th Ave
Phoenix, AZ 85027-3636

Fax (623) 445-5079

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200XLPO42654 (AZ)

School Registered Nurse: Definition to come...

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About NPI 1376776146

Kelly Hanson's National Provider Identifier is 1376776146, issued on Aug 27, 2009. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 27, 2009.