Provider Demographics
NPI:1922879675
Name:HANSON, RACHEL JEAN
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:JEAN
Last Name:HANSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 DAVIS WAY
Mailing Address - Street 2:
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521-5108
Mailing Address - Country:US
Mailing Address - Phone:707-407-8164
Mailing Address - Fax:
Practice Address - Street 1:2510 DAVIS WAY
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-5108
Practice Address - Country:US
Practice Address - Phone:707-407-8164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula