Provider Demographics
NPI:1548534001
Name:HANSEN, ROSEMARY E (DNP)
Entity type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:E
Last Name:HANSEN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:MISS
Other - First Name:ROSEMARY
Other - Middle Name:E
Other - Last Name:CRAVEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:100 HIGH ST
Mailing Address - Street 2:B421
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1126
Mailing Address - Country:US
Mailing Address - Phone:716-859-2605
Mailing Address - Fax:716-859-4131
Practice Address - Street 1:100 HIGH ST
Practice Address - Street 2:B421 BGH BGMC
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1126
Practice Address - Country:US
Practice Address - Phone:716-859-2605
Practice Address - Fax:716-859-4131
Is Sole Proprietor?:No
Enumeration Date:2012-03-01
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY305413-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health