Individual
HEATHER HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 N SPRUCE ST, OGALLALA, NE 69153-2465
(308) 284-7229
Mailing address
PO BOX 42, ARTHUR, NE 69121-0042
(308) 764-9819
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111643
NE
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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