Organization
KELLEY S. HANAU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLEY SUE HANAU APRN-NP, FNP-BC, PMH (OWNER/APRN)
(402) 560-2160
Entity
Organization
Contact information
Practice address
4444 S 86TH ST STE 102, LINCOLN, NE 68526-9253
(402) 476-7557
(402) 476-9912
Mailing address
9840 SPRINGLAKE SOUTH LN, FIRTH, NE 68358-7590
(402) 560-2160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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