Marie Hansen
Licensed Practical Nurse in Bloomer, WI. Individual provider (NPI-1).
NPI number1669900510
StatusActive
Last updated in NPPESMay 23, 2017
Details
- NPI
- 1669900510
- Entity type
- Individual (NPI-1)
- Name
- Marie Hansen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2017
- Last updated
- May 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 19871-31 | WI | Yes |
Practice location
1112 Ivy StBloomer, WI 54724-1444
Phone 715-828-1482
Mailing address
1112 Ivy StBloomer, WI 54724-1444
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