IndividualActive
Canaan Hansen
NPI 1407492812 · Peer Specialist · Wasilla, AK
Provider details
- NPI number
- 1407492812
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
591 S Knik Goose Bay Rd
Wasilla, AK 99654-8062
Phone: (907) 313-1333
Fax: (907) 357-8781
Approximate (ZIP-level) locationGet directions
Mailing address
591 S Knik Goose Bay Rd
Wasilla, AK 99654-8062
Registry dates
- Enumerated
- 2019-11-20
- Last updated
- 2019-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.