Individual
CHERYL HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3024 E EMPIRE ST, BLOOMINGTON, IL 61704-5402
(309) 454-4411
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209014167
IL
363LF0000X
Family Nurse Practitioner
Primary
277000797
IL
Other
Enumeration date
01/25/2019
Last updated
02/16/2024
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