Individual
WENDY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1986 N 1ST ST STE D, HAMILTON, MT 59840-3217
(406) 530-7439
Mailing address
147 ARDIS LOOP, VICTOR, MT 59875-9700
(406) 207-0331
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
RN-29804
MT
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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