Sandra K Hanko, NP

Individual provider Active NPI Registered Nurse · Mauston, WI

NPI 1346563756 · NPPES record last updated Mar 12, 2010

Key facts

NPI
1346563756
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
88266-30 (WI)
Practice address
1040 Division St
Mauston, WI 53948-1931
Phone
(608) 847-5000
NPI assigned
Mar 12, 2010
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)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
88266-30WIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 88266-30 WI Yes

Addresses

Primary practice location

1040 Division St
Mauston, WI 53948-1931

Mailing address

1040 Division St
Mauston, WI 53948-1931
Phone (608) 847-5000

Other providers in Mauston, WI

All providers in Mauston, WI · Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.