person
Colleen Faye Hanson, PA-C
Medical Physician Assistant in Thermopolis, Wyoming
NPI 1437121894

Colleen Faye Hanson is a Medical Physician Assistant based in Thermopolis, WY and is specialized in Medical. Colleen Faye Hanson practices in Thermopolis, WY and has the professional credentials of PA-C. The NPI Number for Colleen Faye Hanson is 1437121894 and holds a License No. 170 (Wyoming).

The current practice location address for Colleen Faye Hanson is 120 N C Ave, Thermopolis, WY and can be reached out via phone at 307-864-5534 and via fax at 307-864-9470.

Location: 120 N C Ave, Thermopolis, WY, 82443-2410
person
Provider Profile Details
NPI Number
1437121894
Provider Name
Colleen Faye Hanson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
120 N C Ave, Thermopolis, WY, 82443-2410
Phone Number
307-864-5534
Fax Number
307-864-9470
Provider Enumeration Date
02/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1112CH98M 01 WY WY CONTROLLED SUBSTANCE #
170 01 WY WY MEDICAL LICENSE #
institution
Provider Business Practice Location Address Details
Address
120 N C Ave
City
State
Zip
82443-2410
Phone Number
307-864-5534
Fax Number
307-864-9470
person
Provider Business Mailing Address Details
Address
120 N C Ave
City
State
Zip
82443-2410
Phone Number
307-864-5534
Fax Number
307-864-9470
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
170 (Wyoming)
Definition
Definition to come...
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