Individual
THERESA COLLEEN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 MAIN ST, CREIGHTON, NE 68729-3007
(402) 358-5700
Mailing address
1503 MAIN ST, CREIGHTON, NE 68729-3007
(402) 358-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111971
NE
Other
Enumeration date
01/15/2016
Last updated
02/24/2016
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