Individual
BRANDON JOHN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, LMNT
Contact information
Practice address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 568-8000
Mailing address
620 GILMAN AVE, NORTH PLATTE, NE 69101-5879
(308) 750-8959
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
971
NE
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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