Provider Demographics
NPI:1750723342
Name:HANSEN, AARON HANS (RN)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:HANS
Last Name:HANSEN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 S ESTADOS ST
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95391-2093
Mailing Address - Country:US
Mailing Address - Phone:801-783-9656
Mailing Address - Fax:
Practice Address - Street 1:15 S ESTADOS ST
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95391-2093
Practice Address - Country:US
Practice Address - Phone:801-783-9656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA751679163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse