Provider Demographics
NPI:1720899347
Name:HANSEN, KRITINE LEE
Entity type:Individual
Prefix:
First Name:KRITINE
Middle Name:LEE
Last Name:HANSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 S SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-7544
Mailing Address - Country:US
Mailing Address - Phone:308-530-0971
Mailing Address - Fax:
Practice Address - Street 1:3701 W KARWAT LN
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522-2486
Practice Address - Country:US
Practice Address - Phone:402-310-9702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant