Individual
ABBY E HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
721 W 6TH AVE, RED CLOUD, NE 68970-2278
(402) 746-5614
Mailing address
721 W 6TH AVE, RED CLOUD, NE 68970-2278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1662
NE
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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