Individual
MRS. BRIDGETTE MARIE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
154 S ELM ST, OCONOMOWOC, WI 53066-3511
(262) 567-0160
Mailing address
154 S ELM ST, OCONOMOWOC, WI 53066-3511
(262) 567-0160
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
144163-30
WI
Other
Enumeration date
02/28/2010
Last updated
03/04/2010
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