Provider Demographics
NPI:1699478313
Name:SOLORZANO HANSEN, STEFANI (FNP-C)
Entity type:Individual
Prefix:
First Name:STEFANI
Middle Name:
Last Name:SOLORZANO HANSEN
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:STEFANI
Other - Middle Name:
Other - Last Name:SOLORZANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2520 N UNIVERSITY AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-3819
Mailing Address - Country:US
Mailing Address - Phone:385-567-4063
Mailing Address - Fax:385-453-1118
Practice Address - Street 1:2520 N UNIVERSITY AVE STE 100
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-3819
Practice Address - Country:US
Practice Address - Phone:385-567-4063
Practice Address - Fax:385-453-1118
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9391819-4405207Q00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine