Provider Demographics
NPI:1194394437
Name:HANSON, ASHLEY (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:HANSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:PATNOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:617 COMSTOCK RD STE 5
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:VT
Mailing Address - Zip Code:05602-8498
Mailing Address - Country:US
Mailing Address - Phone:802-223-2003
Mailing Address - Fax:802-223-2235
Practice Address - Street 1:617 COMSTOCK RD STE 5
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602-8498
Practice Address - Country:US
Practice Address - Phone:802-223-2003
Practice Address - Fax:802-223-2235
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT025.0079292164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse