Healthcare Provider Details

I. General information

NPI: 1730002593
Provider Name (Legal Business Name): WHITNEY MARIE HANSEN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 GRASS VALLEY ST.
COLFAX CA
95713
US

IV. Provider business mailing address

PO BOX 386
DUTCH FLAT CA
95714-0386
US

V. Phone/Fax

Practice location:
  • Phone: 530-346-2281
  • Fax:
Mailing address:
  • Phone: 530-524-4825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95040513
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: