Provider Demographics
NPI:1437795739
Name:HANSEN, ANDREWE STEVEN (MSN, APRN-CNP, FNP,)
Entity Type:Individual
Prefix:
First Name:ANDREWE
Middle Name:STEVEN
Last Name:HANSEN
Suffix:
Gender:M
Credentials:MSN, APRN-CNP, FNP,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6218 S LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1018
Mailing Address - Country:US
Mailing Address - Phone:918-744-7223
Mailing Address - Fax:
Practice Address - Street 1:6218 S LEWIS AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1018
Practice Address - Country:US
Practice Address - Phone:918-744-7223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRN-89481163WC0200X, 163WH1000X
OKM116526363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WH1000XNursing Service ProvidersRegistered NurseHospice