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NPI Code Detail

MEDICARE: SHARA L HANSEN FNP-C

MEDICARE: SHARA L HANSEN FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner123595CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1123595OTHERCONP LICENSE

General Provider Information

NPI Number : 1144305129
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARA L HANSEN FNP-C
Provider Business Mailing Address
First Line : 13402 W COAL MINE AVE, SUITE 230
Second Line :
City : LITTLETON
State : CO
Zip : 80127-5407
Country : US
Telephone Number : 303-730-2167
Fax Number : 303-996-4820
Provider Business Practice Location Address
First Line : 13402 W COAL MINE AVE STE 230
Second Line :
City : LITTLETON
State : CO
Zip : 80127-5407
Country : US
Telephone Number : 303-730-2167
Fax Number : 303-996-4820
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 01/12/2011

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Directions to “ SHARA L HANSEN FNP-C” Practice Location

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