Provider Demographics
NPI:1093015364
Name:HANS, ELIZABETH A (RNFA)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:HANS
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 CATTLEYA CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-2847
Mailing Address - Country:US
Mailing Address - Phone:502-895-4965
Mailing Address - Fax:502-895-4965
Practice Address - Street 1:809 CATTLEYA CT
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-2847
Practice Address - Country:US
Practice Address - Phone:502-895-4965
Practice Address - Fax:502-895-4965
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1034012163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant