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Contact Information

KIMBERLY A HANSEN, CNP
109 W BLAND ST
ROSWELL, NM88203-5708
 Phone: 575-623-1303
 Fax: 575-622-1303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIMBERLY A HANSEN · (Female)

NPI Number 1073523478
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 08/08/2006
Last updated 02/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NM License # CNP00691
  • NM License # R33452
  • NM Other R33452 STATE LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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