Provider Demographics
NPI:1508670886
Name:HANSEN, MAGGIE MARY (ARNP)
Entity type:Individual
Prefix:
First Name:MAGGIE
Middle Name:MARY
Last Name:HANSEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3213 NW LINWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-1475
Mailing Address - Country:US
Mailing Address - Phone:712-830-8789
Mailing Address - Fax:
Practice Address - Street 1:3213 NW LINWOOD LN
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-1475
Practice Address - Country:US
Practice Address - Phone:712-830-8789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA183266363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily