Individual
MARIA R HANNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 735-7645
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 735-7645
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1216
MN
363L00000X
Nurse Practitioner
1857142
MN
363L00000X
Nurse Practitioner
Primary
9035
WI
363L00000X
Nurse Practitioner
F0714375
MN
Other
Enumeration date
07/15/2014
Last updated
12/31/2024
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