Kiersten Marie Hassenauer, LPN
Individual provider Active NPI Licensed Practical Nurse · Wapakoneta, OH
NPI 1053047571 · NPPES record last updated Jul 27, 2022
Key facts
- NPI
- 1053047571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN.180220.MEDS-IV (OH)
- Practice address
- 309 Stinebaugh Dr
Wapakoneta, OH 45895-1241 - Phone
- (419) 302-4983
- NPI assigned
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN.180220.MEDS-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.180220.MEDS-IV | OH | Yes |
Addresses
Primary practice location
309 Stinebaugh Dr
Wapakoneta, OH 45895-1241
Mailing address
1205 Oakridge CT
Wapakoneta, OH 45895-9464
Phone (419) 302-4983
Other providers in Wapakoneta, OH
- Karla Grieshop
- Shirley Ann Griner
- Samantha Paige Gruber
- Julie Hammer I
- Nicole M Hartman
- HCF of Wapakoneta, Inc.
- HCF of Wapakoneta, Inc.
- Healthcare Ventures of Ohio, LLC
- Penny Helmstetter
- George A Herman
All providers in Wapakoneta, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.