Cheryl Hansen, APRN
Nurse Practitioner, Family in Bloomington, IL. Individual provider (NPI-1).
NPI number1003370982
StatusActive
Last updated in NPPESFeb 16, 2024
Details
- NPI
- 1003370982
- Entity type
- Individual (NPI-1)
- Name
- Cheryl Hansen
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2019
- Certification date
- Feb 15, 2024
- Last updated
- Feb 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 277000797 | IL | Yes |
| 363L00000X | Nurse Practitioner | 209014167 | IL |
Practice location
3024 E Empire StBloomington, IL 61704-5402
Phone 309-454-4411
Mailing address
611 W Park StFapc
Urbana, IL 61801-2500
Other practice locations
700 W Lincoln St
Pontiac, IL 61764-2323
Pontiac, IL 61764-2323
Phone 815-842-2816
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