Mr Mark Duane Hansen, RN is a
Registered Nurse based in Prunedale, California. Mr Mark Duane Hansen is licensed to practice in California (license number 747144) and his current practice location is
20070 Audrey Ln, Prunedale, California. He can be reached at his office (for appointments etc.) via phone at
(801) 381-1719.
NPI number for Mr Mark Duane Hansen is 1063847077 and his current mailing address is 20070 Audrey Ln, Prunedale, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063847077.
Provider's Profile
| Full Name | Mr Mark Duane Hansen |
|---|
| Gender | Male |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 20070 Audrey Ln, Prunedale, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063847077
- Provider Enumeration Date: 09/10/2013
- Last Update Date: 09/10/2013
Medical Identifiers
Medical identifiers for Mr Mark Duane Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063847077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 747144 (California) | Primary |
| 163WP0200X | Registered Nurse - Pediatrics | 747144 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Duane Hansen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Mark Duane Hansen, RN
20070 Audrey Ln,
Prunedale, CA 93907-8407
Ph: (801) 381-1719 | Mr Mark Duane Hansen, RN
20070 Audrey Ln,
Prunedale, CA 93907-8407
Ph: (801) 381-1719 |
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