Individual
VICKI HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 N ARCADE ST, MAQUOKETA, IA 52060-2022
(563) 652-6711
Mailing address
206 N ARCADE ST, MAQUOKETA, IA 52060-2022
(563) 652-6711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A108661
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
IA
05
—
PENDING
—
IA
Enumeration date
11/07/2016
Last updated
03/06/2024
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