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NPI Code Detail

MEDICARE: REBECCA HANSON PA-C

MEDICARE: REBECCA HANSON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMED-PAC-LIC-130234MT

General Provider Information

NPI Number : 1235919317
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA HANSON PA-C
Provider Business Mailing Address
First Line : 1125 BROADWATER AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59102-5412
Country : US
Telephone Number : 406-702-2367
Fax Number :
Provider Business Practice Location Address
First Line : 1125 BROADWATER AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59102-5412
Country : US
Telephone Number : 406-702-2367
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2023
Last Update Date : 07/17/2025

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