Individual
COLLEEN A HENSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3900 28TH AVENUE DR, SUITE 200, MOLINE, IL 61265-5536
(309) 281-6000
(309) 281-6009
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209001000
IL
363LF0000X
Family Nurse Practitioner
A054401
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077674
HEALTH ALLIANCE
—
01
—
149294
IOWA HEALTH SOLUTIONS
—
01
—
4796890024
DMERC
—
05
—
479700450
—
IL
01
—
IL0136
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/20/2005
Last updated
04/29/2015
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