Provider Demographics
NPI:1336176916
Name:HANSEN-CAIN, KRISTINE MOREHEAD (APRN)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:MOREHEAD
Last Name:HANSEN-CAIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6227 UNDERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-1807
Mailing Address - Country:US
Mailing Address - Phone:402-880-1520
Mailing Address - Fax:
Practice Address - Street 1:987526 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-7526
Practice Address - Country:US
Practice Address - Phone:402-552-3563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110202363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health