Healthcare Provider Details

I. General information

NPI: 1891678553
Provider Name (Legal Business Name): EMMA HANSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 S 700 E
SALT LAKE CITY UT
84106-1466
US

IV. Provider business mailing address

3838 S 700 E
SALT LAKE CITY UT
84106-1466
US

V. Phone/Fax

Practice location:
  • Phone: 801-898-0024
  • Fax:
Mailing address:
  • Phone: 801-898-0024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number13157633-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number13157633-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: