Individual provider · Type 1 NPI

Kelly Rae Hanson, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Prescott, AZ

NPI number 1467134569 Active

Practice location

500 Highway 89 North
Prescott, AZ 86313-5001

Mailing address

62 Woodside Dr
Prescott, AZ 86305-5090

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X295242 (AZ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1467134569

Kelly Rae Hanson, PMHNP's National Provider Identifier is 1467134569, issued on Aug 7, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Prescott, AZ. The record was last updated on Aug 7, 2023.