Individual
BRENT MATTHEW HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7793 N LAKOTA RD, NORTH PLATTE, NE 69101-8115
(308) 530-5335
Mailing address
7793 N LAKOTA RD, NORTH PLATTE, NE 69101-8115
(308) 530-5335
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
H13971673
NE
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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