Individual
BETHANY M HASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1350 CHARLES STREET, ROCKFORD, IL 61104
(779) 696-8499
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023520
IL
Other
Enumeration date
06/03/2021
Last updated
01/04/2024
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