MEDICARE: INGRID I. HANSEN FNP-C, RN

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
1	363LF0000X	Family Nurse Practitioner	AP116340	TX

General Provider Information

NPI Number	:	1720398183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INGRID I. HANSEN FNP-C, RN

Provider Business Mailing Address
First Line	:	17402 W GRAND PKWY S STE 200
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7288
Country	:	US
Telephone Number	:	713-486-3950
Fax Number	:	713-871-0081

Provider Business Practice Location Address
First Line	:	17402 W GRAND PKWY S STE 200
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7288
Country	:	US
Telephone Number	:	713-486-3950
Fax Number	:	713-871-0081

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

Provider Enumeration Date	:	10/19/2010
Last Update Date	:	03/04/2026

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