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General NPI Number Information
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NPI Number | 1841841624
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Entity Type | Individual
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Provider Name | EMILY NICHOLE HANSEN PMHNP-BC,ARNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/24/2019
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 1960 SW MAGAZINE RD
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City | ANKENY
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State | IA
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Zip | 50023-2978
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Country | US
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Telephone | 515-348-6380
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Fax | 515-452-0565
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Provider Business Mailing Address
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Address Line | 2007 N 3RD AVE E
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City | NEWTON
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State | IA
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Zip | 50208-2522
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Country | US
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Telephone | 563-299-9692
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A156607
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G185358
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License Number State | IA
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