Individual
HANNA THEOBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 S 48TH ST, LINCOLN, NE 68506-1299
(402) 481-1111
Mailing address
647 WASHINGTON ST, LINCOLN, NE 68502-2052
(402) 730-1834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
86782
NE
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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