Provider Demographics
NPI:1023907292
Name:HANSON, TAMARA RACHEL (FNP)
Entity type:Individual
Prefix:MISS
First Name:TAMARA
Middle Name:RACHEL
Last Name:HANSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 ARTESIAN SPGS
Mailing Address - Street 2:
Mailing Address - City:DRIFTWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78619-2190
Mailing Address - Country:US
Mailing Address - Phone:941-705-8232
Mailing Address - Fax:
Practice Address - Street 1:4210 BENNER
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-2230
Practice Address - Country:US
Practice Address - Phone:512-865-5329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1193611363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily