Provider Demographics
NPI:1134659667
Name:HANSON, JANET LI (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:LI
Last Name:HANSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:Y
Other - Last Name:LI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:532 S ALDER LN
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-8460
Mailing Address - Country:US
Mailing Address - Phone:206-651-6707
Mailing Address - Fax:
Practice Address - Street 1:532 SOUTH ALDER LANE
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362
Practice Address - Country:US
Practice Address - Phone:206-651-6707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0168364163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0168364OtherRN LICENSE
WAHANSOJL463CWOtherDRIVERS LICENSE
WA0168364OtherWA RN LICENSE