Individual
KATHY A HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1552 UNIVERSITY AVE, MADISON, WI 53726-4084
(608) 265-5860
Mailing address
1552 UNIVERSITY AVE, MADISON, WI 53726-4084
(608) 265-5860
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
65932-030
WI
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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