Healthcare Provider Details

I. General information

NPI: 1518261221
Provider Name (Legal Business Name): TARAN ENCE HANSEN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2011
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 E CANYON COMMERCIAL AVE
CEDAR CITY UT
84721-7784
US

IV. Provider business mailing address

55 E CANYON COMMERCIAL AVE
CEDAR CITY UT
84721-7784
US

V. Phone/Fax

Practice location:
  • Phone: 435-865-0218
  • Fax: 435-865-0228
Mailing address:
  • Phone: 435-865-0218
  • Fax: 435-865-0228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number8431812-1206
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: