Individual provider · Type 1 NPI
Kristine Hansen, PA-C
Surgical Physician Assistant · Jamaica Plain, MA
NPI number
1740394907
Active
Practice location
150 S Huntington Ave, Dept. Of Orthopedics
Jamaica Plain, MA 02130-4817
Fax (857) 364-2033
Mailing address
104 Landseer St, Apt. 1
West Roxbury, MA 02132-3437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 72 (MA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1740394907
Kristine Hansen, PA-C's National Provider Identifier is 1740394907, issued on Aug 17, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jamaica Plain, MA. The record was last updated on Jul 8, 2007.