MARIJO HANSON PA - NPI 1114069358 - Physician Assistant in Anderson, CA

Q: What is Marijo Hanson's NPI number?

The NPI number for Marijo Hanson is 1114069358. It was assigned to this individual provider in the NPPES registry on February 13, 2007. The provider is also known as Marijo Dedeker.

Q: What is Marijo Hanson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Marijo Hanson was last updated on October 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Marijo Hanson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIJO HANSON PA (NPI 1114069358) is an individual physician assistant in Anderson, California, licensed in California (PA16359) and active in the NPI registry since February 2007. She maintains a secondary practice location in Redding.

NPPES Registry Identity

NPI1114069358

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARIJO HANSONCredential: PA

Location Address3082 MCMURRAY DRAnderson, CA 96007-3544

Mailing Address3082 Mcmurray DrAnderson, CA 96007-3544 · (530) 365-4420 · Fax (530) 365-5186

Phone(305) 365-4420

Fax(530) 365-5186

Sole ProprietorNo

Enumeration DateFebruary 13, 2007

Last NPPES UpdateOctober 25, 20182 updates tracked since enumeration

✔ NPI 1114069358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA16359

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3082 MCMURRAY DR, Anderson, CA 96007

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Other Names 1

Former Name (1)Marijo Dedeker

Secondary Practice Location 1

Location 11310 Churn Creek Rd Ste E5Redding, CA 96003-4004 · Phone (530) 722-9907 · Fax (530) 365-5186

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ERICK WILLIAM NILSON PA-C

Physician Assistant