Provider Demographics
NPI:1437508538
Name:HANSEN, CLAUDIA (DPH)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:
Last Name:HANSEN
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 CROFTON PARK LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-6532
Mailing Address - Country:US
Mailing Address - Phone:615-554-5743
Mailing Address - Fax:
Practice Address - Street 1:1000 CORPORATE CENTRE DR
Practice Address - Street 2:ONE MERIDIAN, SUITE 400
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2611
Practice Address - Country:US
Practice Address - Phone:800-947-3131
Practice Address - Fax:800-952-4488
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12004183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist