Healthcare Provider Details

I. General information

NPI: 1922995281
Provider Name (Legal Business Name): CLARE HANSS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 E OSBORN RD
SCOTTSDALE AZ
85251-6432
US

IV. Provider business mailing address

7113 N 3RD AVE
PHOENIX AZ
85021-8705
US

V. Phone/Fax

Practice location:
  • Phone: 480-882-4809
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number11080
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: