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Larae Jean Hansen, MSN,PNP
Pediatric Nurse Practitioner in Ventura, California
NPI 1184221798

Larae Jean Hansen is a Pediatric Nurse Practitioner based in Ventura, CA and is specialized in Pediatrics. Larae Jean Hansen practices in Ventura, CA and has the professional credentials of MSN,PNP. The NPI Number for Larae Jean Hansen is 1184221798 and holds a License No. 95015281 (California).

The current practice location address for Larae Jean Hansen is 7805 Redondo St, Ventura, CA and can be reached out via phone at 805-452-8436.

Location: 7805 Redondo St, Ventura, CA, 93004-3814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184221798
Provider Name
Larae Jean Hansen
Credential
MSN,PNP
Provider Entity Type
Individual
Gender
Female
Address
7805 Redondo St, Ventura, CA, 93004-3814
Phone Number
805-452-8436
Fax Number
Provider Enumeration Date
10/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95015281 01 CA NP LICENSE
institution
Provider Business Practice Location Address Details
Address
7805 Redondo St
City
Ventura
State
California
Zip
93004-3814
Phone Number
805-452-8436
Fax Number
person
Provider Business Mailing Address Details
Address
7805 Redondo St
City
Ventura
State
California
Zip
93004-3814
Phone Number
805-452-8436
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
95015281 (California)
Definition
Definition to come...
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