Provider Demographics
NPI:1407390776
Name:HANSEN, BRITTANY SHEREE (RN)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:SHEREE
Last Name:HANSEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 SYCAMORE PL
Mailing Address - Street 2:
Mailing Address - City:THERESA
Mailing Address - State:WI
Mailing Address - Zip Code:53091-9641
Mailing Address - Country:US
Mailing Address - Phone:920-988-9491
Mailing Address - Fax:
Practice Address - Street 1:610 SYCAMORE PL
Practice Address - Street 2:
Practice Address - City:THERESA
Practice Address - State:WI
Practice Address - Zip Code:53091-9641
Practice Address - Country:US
Practice Address - Phone:920-988-9491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI229981163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse