MEDICARE: CATINA HANSEN

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	163WX0003X	Inpatient Obstetric Registered Nurse	60596446	WA

General Provider Information

NPI Number	:	1780532697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATINA HANSEN

Provider Business Mailing Address
First Line	:	14550 RAWHIDE WAY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-4530
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14550 RAWHIDE WAY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-4530
Country	:	US
Telephone Number	:	712-209-4021
Fax Number	:

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

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “ CATINA HANSEN ” Practice Location

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