Doctor Name: | ROBERT EUGENE HANSEN |
NPI Number: | 1457783623 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN, BSN |
License Number: | R034733 |
Business Practice Address: | 100 Lake Traverse Dr Sisseton, SD - 572627046 |
Business Phone Number: | 6056987606 |
Business Fax Number: | |
Mailing Address: | 100 Lake Traverse Dr, SISSETON |
State: | SD |
Postal Code: | 572627046 |
Phone Number: | 6056987606 |
Fax Number: | |
NPI Enumeration Date: | 07/30/2013 |
NPI Last Update Date: | 07/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | R034733 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |