Hansen, Katlyn Sue
Hansen, Katlyn Sue is an individual health care provider with primary practice located at 1550 Midway Pl , Menasha WI 54952-1165. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hansen, Katlyn Sue can be contacted via phone (920) 727-8000.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5658 - 33 | Wisconsin |
Profile Details
NPI number | 1649693326 |
---|---|
LBN Legal business name | Hansen, Katlyn Sue |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2014 |
Last updated | Dec 19th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649693326 | NPPES |
Wisconsin | MEDICAID | 100036689 |
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