| Derik James Hansen, FNP | |
|
2719 Brodhead Rd Ste 190, Aliquippa, PA 15001-2793 | |
| (724) 419-9200 | |
| (724) 419-9202 |
| Full Name | Derik James Hansen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2719 Brodhead Rd Ste 190, Aliquippa, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871203034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP026401 (Pennsylvania) | Primary |
| Entity Name | Heritage Valley Multispecialty Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528015401 PECOS PAC ID: 0042105678 Enrollment ID: O20040220000870 |
| Entity Name | University Of Pittsburgh Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
| Mailing Address | Practice Location Address |
|---|---|
| Derik James Hansen, FNP 2719 Brodhead Rd Ste 190, Aliquippa, PA 15001-2793 Ph: (724) 419-9200 | Derik James Hansen, FNP 2719 Brodhead Rd Ste 190, Aliquippa, PA 15001-2793 Ph: (724) 419-9200 |
Tammy M Ronstadt, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 Industrial Blvd, Aliquippa, PA 15001 Phone: 412-749-6739 Fax: 724-770-7931 | |
Patricia M Gordon, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2349 Mill St, Aliquippa, PA 15001 Phone: 878-201-3312 Fax: 878-201-3584 | |
Carla Denne Tomas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2349 Mill St, Aliquippa, PA 15001 Phone: 878-201-3312 | |
Katie Beth Manni, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 188 Edgewood St, Aliquippa, PA 15001 Phone: 724-914-0283 | |
Shannon Stefan Robertson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2719 Brodhead Rd Ste 190, Aliquippa, PA 15001 Phone: 724-419-9200 Fax: 724-419-9202 | |
Ms. Hanna Boyd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 Industrial Blvd, Aliquippa, PA 15001 Phone: 724-773-6464 | |
Linda Eileen Lombard-ash, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Aliquippa, PA 15001 Phone: 724-375-8110 Fax: 724-375-2435 |