NPI 1083923411

Nathan Daniel Hanson, EMTB

Practitioner Basic Emergency Medical Technician Fort Rucker, AL

Practice location

Address: Bldg 301 Andrews Ave Lyster Army Health Clinic, Fort Rucker, AL 36362
Phone: (334) 255-0454

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence B1594726 (CO)

Other Emergency Medical Technician, Basic providers in Alabama →

Registry record

NPI: 1083923411
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2010
Record last updated: 4 Oct 2010

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.