MEDICARE: NICOLE ANDREA HANSON APRN, BC

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	101488	MT

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P01089516	OTHER	MN	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1245237809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE ANDREA HANSON APRN, BC

Provider Business Mailing Address
First Line	:	1101 26TH ST S
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-5161
Country	:	US
Telephone Number	:	406-731-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 26TH ST S
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-5161
Country	:	US
Telephone Number	:	406-731-8888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	04/08/2024

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax: