Individual
AMANDA NOEL HATZENBUEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2707 L ST, ORD, NE 68862-1275
(908) 728-4223
Mailing address
405 N 19TH ST, ORD, NE 68862-1014
(402) 879-8200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
72487
NE
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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