Individual
MS. RUTH ELLEN HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, IBCLC
Contact information
Practice address
99TH MDG HCOS, SGOC-PEDIATRIC CLINIC, 4700 LAS VEGAS BLVD. N., NELLIS AFB, NV 89191
(702) 653-3504
Mailing address
99TH MDG HCOS, SGOC-PEDIATRIC CLINIC, 4700 LAS VEGAS BLVD. N., NELLIS AFB, NV 89191
(702) 653-3504
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
13-41410-092
KS
Other
Enumeration date
10/12/2006
Last updated
07/09/2024
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