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Individual

TAMALA R HOUSER-HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
515 N 162ND AVE STE 301, OMAHA, NE 68118-2540
(402) 354-7320
(402) 354-7325
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111080
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025777600
NE
05
10026485702
NE
01
111080
NE APRN LICENSE
NE
05
1427389816
IA
Enumeration date
01/25/2010
Last updated
03/06/2018
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