MRS. NICOLE ANNA HANSON MS PA-C NPI 1023105467

NPI Information

NPI: 1023105467
Provider Name: MRS. NICOLE ANNA HANSON, MS PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1617 SHERMAN AVENUE
MADISON, WI
ZIP 53708
Phone: (608) 240-0020
Get Directions

MRS. Nicole Anna Hanson, MS PA-C is a medical physician assistant in Madison, WI. MRS. Nicole Anna Hanson, MS PA-C NPI is 1023105467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1617 SHERMAN AVENUE
MADISON, WI
ZIP 53708-017
Phone: (608) 240-0020
Fax: (608) 245-3879

The NPI 1023105467 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 7/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1800 - 023	WISCONSIN	No
2	363AM0700X	Physician Assistant	Medical	PA1353	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K400219987	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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