Individual
MRS. MICHELLE KATHLEEN HAGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CWON
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-5956
(402) 930-7976
Mailing address
4101 WOOLWORTH AVE # 118, OMAHA, NE 68105-1850
(402) 995-5956
(402) 930-7976
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
66094
NE
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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