Healthcare Provider Details

I. General information

NPI: 1770392193
Provider Name (Legal Business Name): NATALIE LYNN HANSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2024
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20930 DUPONT BLVD UNIT 202
GEORGETOWN DE
19947-1724
US

IV. Provider business mailing address

20930 DUPONT BLVD UNIT 202
GEORGETOWN DE
19947-1724
US

V. Phone/Fax

Practice location:
  • Phone: 302-202-3438
  • Fax: 302-267-4001
Mailing address:
  • Phone: 302-400-9999
  • Fax: 302-267-4001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: