Most Relevant Information
Provider Data
| NPI Number: | 1003356346 |
| Provider Name: | COLEEN HANSEN R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 40101 |
Most Important Dates
| Enumeration Date: | 03/06/2017 |
| Last Updated: | 03/06/2017 |
Provider Practice Location
900 S 74TH PLZ
SUITE 200
OMAHA
NE
681144675
Practice Location Phone/Fax
| Phone: | 4024446500 |
| Fax: | 4024446504 |
Provider Mailing Location
900 S 74TH PLZ
SUITE 200
OMAHA
NE
681144675
Provider Mailing Phone/Fax
| Phone: | 4024446500 |
| Fax: | 4024446504 |