McKenzie Hansen
Individual provider Active NPI Registered Nurse · Spring Green, WI
NPI 1225878366 · NPPES record last updated May 28, 2024
Key facts
- NPI
- 1225878366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1086621-30 (WI)
- Practice address
- 557 S Winsted St
Spring Green, WI 53588-9435 - Phone
- (608) 963-7808
- NPI assigned
- May 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 1086621-30 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1086621-30 | WI | Yes |
Addresses
Primary practice location
557 S Winsted St
Spring Green, WI 53588-9435
Mailing address
410 Nightengale CT
Arena, WI 53503-9120
Phone (608) 370-0888
Other providers in Spring Green, WI
- Luke W Fortney
- Masaru Furukawa
- Felyce Gilford
- Lauren Gullickson
- Alisha M Hahn
- Bobbi Hartley
- Carolyn Ruth Hunter
- Shane P Johnson
- Deb Ann Jones
- Eric L Jones
All providers in Spring Green, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2024. 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.