NPI 1063839009
Angela Hansen, RDIBCLC
Practice location
- Address
- 1215 N Beaver St, Flagstaff, AZ 86001-3126
- Phone
- (928) 773-2200
- Fax
- (928) 773-2300
- Mailing address
- 1200 N Beaver St, Flagstaff, AZ 86001-3118
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1063839009
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Mar 2014
- Record last updated
- 10 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.