Individual
AMBER RAE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
909 S 76TH ST, OMAHA, NE 68114-4519
(402) 390-2100
Mailing address
909 S 76TH ST, OMAHA, NE 68114-4519
(402) 390-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23389
NE
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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