Healthcare Provider Details

I. General information

NPI: 1568389872
Provider Name (Legal Business Name): ALEXANDRA HANSEN PPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 WINDRIVER DR
ROCK SPRINGS WY
82901-4433
US

IV. Provider business mailing address

1008 WINDRIVER DR
ROCK SPRINGS WY
82901-4433
US

V. Phone/Fax

Practice location:
  • Phone: 307-349-0082
  • Fax:
Mailing address:
  • Phone: 307-349-0082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPPC-1312
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: