Individual
MRS. MARILYN LEANN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
10908 ELLISON AVE, OMAHA, NE 68164-1518
(402) 491-0859
(402) 491-0273
Mailing address
10908 ELLISON AVE, OMAHA, NE 68164-1518
(402) 491-0859
(402) 491-0273
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
45174
NE
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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