Mrs Susan Laurie Hansen, CNM | |
1303 N Main St, Suite E, Cedar City, UT 84720-9746 | |
(435) 865-9222 | |
(435) 586-1467 |
Full Name | Mrs Susan Laurie Hansen |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1303 N Main St, Cedar City, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134144199 | NPI | - | NPPES |
841403495HAN | Other | UT | EMIA# |
078268 | Other | UT | SELECT HEALTH # |
84-1403495 | Other | UT | TAX ID # |
94-201751-4402 | Other | UT | UT STATE # |
44220 | Other | UT | PEHP# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan Laurie Hansen, CNM 1303 N Main St, Suite E, Cedar City, UT 84721-9746 Ph: (435) 865-9222 | Mrs Susan Laurie Hansen, CNM 1303 N Main St, Suite E, Cedar City, UT 84720-9746 Ph: (435) 865-9222 |
Mrs. Josi Kelly Jensen, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1303 N Main St Ste E, Cedar City, UT 84721 Phone: 435-865-9222 Fax: 435-586-1467 |