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Individual

COLLEEN A HENSEL

Active
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Individual

COLLEEN A HENSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

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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