Provider Demographics
NPI:1366804411
Name:HANSEN, ERIN MARGARET (MD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:MARGARET
Last Name:HANSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:MARGARET
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 15TH ST N STE 600
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-2900
Mailing Address - Country:US
Mailing Address - Phone:703-558-1546
Mailing Address - Fax:703-558-1445
Practice Address - Street 1:12 MEDSTAR BLVD STE 220
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-1824
Practice Address - Country:US
Practice Address - Phone:410-877-8088
Practice Address - Fax:410-877-8170
Is Sole Proprietor?:No
Enumeration Date:2016-03-27
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0091542207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine