Provider Demographics
NPI:1982380051
Name:HESSER, CARMEN (RN)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:
Last Name:HESSER
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 1:1235 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:NE
Mailing Address - Zip Code:68333-4005
Mailing Address - Country:US
Mailing Address - Phone:402-525-9351
Mailing Address - Fax:
Practice Address - Street 1:309 E 11TH ST
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:NE
Practice Address - Zip Code:68333-2228
Practice Address - Country:US
Practice Address - Phone:402-826-5822
Practice Address - Fax:402-826-2135
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE64179163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool