Provider Demographics
NPI:1457604878
Name:HANS, MARY F (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:F
Last Name:HANS
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3466 MCKELVEY RD # 320
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-2533
Mailing Address - Country:US
Mailing Address - Phone:314-344-8100
Mailing Address - Fax:314-344-8102
Practice Address - Street 1:3466 MCKELVEY RD # 320
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2533
Practice Address - Country:US
Practice Address - Phone:314-344-8100
Practice Address - Fax:314-344-8102
Is Sole Proprietor?:No
Enumeration Date:2012-10-23
Last Update Date:2023-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2002017250363LW0102X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health