IndividualActive
Emily Hansen
NPI 1700454196 · Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1700454196
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9401407-3102 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
3371 S Plaza Way
Salt Lake City, UT 84109-4243
Phone: (801) 458-1407
Approximate (ZIP-level) locationGet directions
Mailing address
3371 S Plaza Way
Salt Lake City, UT 84109-4243
Registry dates
- Enumerated
- 2021-06-14
- Last updated
- 2022-12-03
- Certified
- 2022-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.